Emergency Medicine Services of KS, PA

Organization Active NPI Emergency Medicine Physician · Overland Park, KS

NPI 1649979451 · NPPES record last updated Nov 20, 2025

Key facts

NPI
1649979451
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
EMERGENCY MEDICINE SERVICES OF KS, PA
Practice address
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone
(913) 541-5000
NPI assigned
Mar 1, 2023
Organization subpart
No

Authorized official

Name
Mr. Vyvyan Derouen
Title
President
Phone
(615) 376-5076

Practitioners 92

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

View all 92

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230420000588 KS Part B Supplier - Clinic/Group Practice 4385009695 Receives reassigned benefits from 88 practitioners
Practice locations: Overland Park, KS; Shawnee, KS; Olathe, KS

National Provider Directory

Locations

10310 W 63rd St
Shawnee, KS 66203
Phone (913) 227-8400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

10500 Quivira Rd
Overland Park, KS 66215-2306

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Other providers in Overland Park, KS

All providers in Overland Park, KS · Emergency Medicine Physician in Kansas

Sources for this page

Verify at the official NPI Registry.