Individual provider Active NPI

Kevin J Fitzmaurice, M.D.

  • Internal Medicine Physician
  • Lenexa, KS
National Provider Identifier
1659393726
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-22631 Issued in KS
Practice address
8550 Marshall Dr Ste 200
Lenexa, KS 66214-9836
Phone
(913) 495-2000
Fax
(913) 495-3715
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-22631 KS Primary

Addresses

Primary practice location

8550 Marshall Dr Ste 200
Lenexa, KS 66214-9836

Mailing address

8550 Marshall Dr Ste 220
Lenexa, KS 66214-1505
Phone (913) 495-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals_lnx@encompassmed.direct-ci.net Direct Encompass Medical Group, PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051028000665 KS Practitioner - Internal Medicine 8426949363
I20090729000587 MO Practitioner - Internal Medicine 8426949363

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8550 Marshall Dr
Lenexa, KS 66214-1505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22631KSMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: kevin.fitzmaurice@khindirect.org

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1659393726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR STE 220",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141505",
            "telephone_number": "913-495-2000",
            "fax_number": "913-495-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR STE 200",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662149836",
            "telephone_number": "913-495-2000",
            "fax_number": "913-495-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZMAURICE",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-22631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals_lnx@encompassmed.direct-ci.net",
            "affiliation": "Y",
            "affiliationName": "Encompass Medical Group, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8550 Marshall Dr Ste 200",
            "city": "Lenexa",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662149836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.