Organization Active NPI

Kansas City Advanced Imaging Inc

  • Radiology Clinic/Center
  • Leawood, KS
National Provider Identifier
1669276739
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
KANSAS CITY ADVANCED IMAGING INC
Practice address
4901 W 136TH St
Leawood, KS 66224-5926
Phone
(913) 890-7280
Fax
(913) 387-2023
NPI assigned
Apr 1, 2025
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Kelly Thomas
Title
Manager
Phone
(913) 890-7280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

4901 W 136TH St
Leawood, KS 66224-5926

Mailing address

3206 4TH St
Longview, TX 75605-5143
Phone (903) 663-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20251015003302 KS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7618464348 Practice locations: Overland Park, KS
O20251120001229 MO Part B Supplier - Clinic/Group Practice 7618464348 Receives reassigned benefits from 2 practitioners
Practice locations: Kansas City, MO
O20260527000357 FL Part B Supplier - Clinic/Group Practice 7618464348 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

4901 W 136th St
Ste 100
Overland Park, KS 66224
Phone (913) 890-7280

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1669276739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-663-4800",
            "fax_number": "903-663-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W 136TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662245926",
            "telephone_number": "913-890-7280",
            "fax_number": "913-387-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY ADVANCED IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-890-7280"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.