Anastasia Marie Kohlrus, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-50086 Issued in KS

Practice address

8800 W 75TH St Ste 220
Shawnee Mission, KS 66204-4001

Phone

(913) 384-5500

NPI assigned

Mar 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Children's Mercy-Johnson County Pediatrics, Inc

  • Pediatrics Physician
  • Shawnee Mission, KS
  • NPI 1649729443
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1669058202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST STE 220",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044001",
            "telephone_number": "913-384-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST STE 220",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662044001",
            "telephone_number": "913-384-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLRUS",
        "first_name": "ANASTASIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-50086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A King
• Mary Anne Kiser, LCMFT
• Stephanie Anne Klamm, CRNA
• Darcey Klein, OTR/L
• Shaley Knickerbocker
• KP Medical Billing Services
• Jay H. Kraenow, CRNA
• Holly Krause
• Bradley Raymond Kwapiszeski, M.D.
• Laboratory Corporation of America Holdings

• Pediatrics Physician in Shawnee Mission, KS
• Providers in Shawnee Mission, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.