Individual provider Active NPI

David Matthew Willey, M.D.

  • Psychiatry Physician
  • Olathe, KS
National Provider Identifier
1629364807
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-37722 Issued in KS
Practice address
13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone
(913) 353-3000
Fax
(913) 353-3001
NPI assigned
Jun 25, 2011
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-37722 KS Primary

Addresses

Primary practice location

13351 S Arapaho Dr
Olathe, KS 66062-1520

Mailing address

13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone (913) 353-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203002376 KS Practitioner - Psychiatry 7214231745 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottonwood Springs Physician Group LLCGroup PAC ID 6800199274, 21 clinicians

Practice addresses (Care Compare)

13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone (913) 353-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-37722KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osawatomie State Hospital CurrentSince Aug 1, 2020 Accepting new patients
Cottonwood Springs Physician Group LLC Psychiatry CurrentSince Dec 16, 2015 Accepting new patients
Silver Arrow Psychiatric Care of Kansas - LLC Psychiatry CurrentSince Dec 2, 2024 Accepting new patients
Cottonwood Springs, LLC Past Accepting new patients
Cottonwood Springs Physician Group LLC Past Accepting new patients
State of Kansas Past Accepting new patients

Locations

13351 S Arapaho Dr
Olathe, KS 66062
Phone (913) 353-3000

15040 W 138th St
Olathe, KS 66062
Phone (913) 254-7265

500 State Hospital Dr
Osawatomie, KS 66064
Phone (913) 755-7000

5251 W 116th Pl
Ste 200
Overland Park, KS 66211
Phone (844) 337-3627

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1629364807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 S ARAPAHO DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621520",
            "telephone_number": "913-353-3000",
            "fax_number": "913-353-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13351 S ARAPAHO DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621520",
            "telephone_number": "913-353-3000",
            "fax_number": "913-353-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-25",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-37722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.