Organization Active NPI

Heart of America Eye Care PA

  • Ophthalmology Physician
  • Overland Park, KS
National Provider Identifier
1649290255
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0417539 Issued in KS
Legal business name
HEART OF AMERICA EYE CARE PA
Practice address
10985 Cody St Ste 120
Overland Park, KS 66210-1243
Phone
(913) 492-0021
Fax
(913) 492-0093
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Dr. Bradley Raymond Kwapiszeski, MDNPI 1326075680
Title
Ceo
Phone
(913) 362-3210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 0417539 KS Primary

Addresses

Primary practice location

10985 Cody St Ste 120
Overland Park, KS 66210-1243

Mailing address

10985 Cody St Ste 120
Overland Park, KS 66210-1243
Phone (913) 492-0021

Other practice location 1

8800 W 75th St Ste 140
Shawnee Mission, KS 66204-4001
Phone (913) 362-0407

Other identifiers 1

IdentifierTypeStateIssuer
23482016OtherMOBCBS KC GR NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050620000903 KS Part B Supplier - Clinic/Group Practice 2668438417 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prairie Village, KS; Shawnee Mission, KS; Overland Park, KS
O20190809000876 MO Part B Supplier - Clinic/Group Practice 2668438417 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belton, MO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

10985 Cody St
Ste 120
Overland Park, KS 66210
Phone (913) 492-0021

10985 Cody St
Ste 460
Overland Park, KS 66210

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJIDBA

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1649290255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10985 CODY ST STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101243",
            "telephone_number": "913-492-0021",
            "fax_number": "913-492-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10985 CODY ST STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101243",
            "telephone_number": "913-492-0021",
            "fax_number": "913-492-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 W 75th St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Shawnee Mission",
            "state": "KS",
            "postal_code": "662044001",
            "country_code": "US",
            "telephone_number": "913-362-0407",
            "fax_number": "913-492-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART OF AMERICA EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "KWAPISZESKI",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-362-3210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0417539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC GR NUMBER",
            "identifier": "23482016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.