NPIMap

Individual provider Active NPI

Liliana E Nazario, M.D.

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1629063557
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-22063 Issued in KS
Practice address
12330 Metcalf Ave
Suite 500
Overland Park, KS 66213-1324
Phone
(913) 491-1616
Fax
(913) 491-8061
NPI assigned
Sep 16, 2005
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-22063 KS Primary

Addresses

Primary practice location

12330 Metcalf Ave
Suite 500
Overland Park, KS 66213-1324

Mailing address

12330 Metcalf Ave
Suite 500
Overland Park, KS 66213-1324
Phone (913) 491-1616

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LILIANA.NAZARIO@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000962 KS Practitioner - Family Practice 3173686573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Medical Group of Overland Park, LLCGroup PAC ID 0244425841, 8 clinicians

Practice addresses (Care Compare)

13801 Metcalf Ave
Suite 100
Overland Park, KS 66223-3092
Phone (913) 491-1616

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-22063KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Group, Inc Family Medicine CurrentSince Dec 23, 2008 Accepting new patients
Family Health Medical Group of Overland Park, LLC Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Statland Medical Group LLC Past Accepting new patients

Locations

12330 Metcalf Ave
Ste 500
Overland Park, KS 66213
Phone (913) 317-3170

11827 W 112th St
Overland Park, KS 66210
Phone (913) 296-7636

13801 Metcalf Ave
Ste 100
Overland Park, KS 66223
Phone (913) 491-1616

7381 W 133rd St
Ste 100
Overland Park, KS 66213
Phone (913) 491-1616

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1629063557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE",
            "address_2": "SUITE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "913-491-1616",
            "fax_number": "913-491-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE",
            "address_2": "SUITE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "913-491-1616",
            "fax_number": "913-491-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO",
        "first_name": "LILIANA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-22063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LILIANA.NAZARIO@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12330 Metcalf Ave",
            "address_2": "SUITE 500",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662131324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.