Individual provider Active NPI

Carole A. Guillaume, MD, FAASM

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1649365537
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-28951 Issued in KS
Practice address
8625 College Blvd
Suite 103
Overland Park, KS 66210-1835
Phone
(913) 777-0077
Fax
(877) 796-6309
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-28951 KS Primary
Sleep Medicine (Family Medicine) Physician 207QS1201X 0428951 KS
Sleep Medicine (Family Medicine) Physician 207QS1201X 104177 MO

Addresses

Primary practice location

8625 College Blvd
Suite 103
Overland Park, KS 66210-1835

Mailing address

15621 W 87TH Street Pkwy Ste 221
Lenexa, KS 66219-1435
Phone (913) 777-0077

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
I20080516000717 KS Practitioner - Family PracticePractitioner - Sleep Medicine 2567531502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sleep Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8625 College Blvd
Suite 103
Overland Park, KS 66210-2192
Phone (913) 777-0077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-28951KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remedio LLC CurrentSince May 25, 2025 Accepting new patients
Romaker and Associates, PC Past Accepting new patients
Consultants in Neurology, PA Past Accepting new patients

Locations

8625 College Blvd
Ste 103
Overland Park, KS 66210
Phone (913) 777-0077

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/583/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1649365537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15621 W 87TH STREET PKWY STE 221",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191435",
            "telephone_number": "913-777-0077",
            "fax_number": "877-796-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 COLLEGE BLVD",
            "address_2": "SUITE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101835",
            "telephone_number": "913-777-0077",
            "fax_number": "877-796-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLAUME",
        "first_name": "CAROLE",
        "middle_name": "A.",
        "credential": "MD, FAASM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-28951",
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "KS",
            "license": "0428951",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "MO",
            "license": "104177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.