Individual provider Active NPI

Mark A. Thompson, MD

  • Radiation Oncology Physician
  • Overland Park, KS
National Provider Identifier
1669444030
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
04-28226 Issued in KS
Practice address
10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone
(913) 338-5585
Fax
(913) 338-3228
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 113711 MO
Radiation Oncology Physician 2085R0001X 04-28226 KS Primary

Addresses

Primary practice location

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244

Mailing address

8551 Bluejacket St
Lenexa, KS 66214-1656
Phone (913) 981-1215

Other identifiers 1

IdentifierTypeStateIssuer
30004526110004MedicaidKS

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
I20100115000031 KS Practitioner - Radiation Oncology 0840332763 Reassigns benefits to 1 organization
I20100115000037 MO Practitioner - Radiation Oncology 0840332763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Texas Tech University Health Science Center School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985

17525 Medical Ctr Pkwy
Independence, MO 64057-1824
Phone (816) 994-3150

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113711MOMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Urology Care, P.a. CurrentSince Jul 1, 2019 Accepting new patients
Radiation Oncology of Mississippi PA Radiation Oncology Past Accepting new patients
Kansas City Cancer Center, LLC Radiation Oncology Past Accepting new patients

Locations

10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585

5300 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 456-5274

8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

17525 Medical Center Pkwy
Independence, MO 64057
Phone (816) 836-6875

4321 Washington St
Ste 5300
Kansas City, MO 64111
Phone (816) 531-1234

Interoperability endpoints

  • Direct secure messaging: mthompson@kcurology.direct.varian.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1669444030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 BLUEJACKET ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141656",
            "telephone_number": "913-981-1215",
            "fax_number": "913-439-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111244",
            "telephone_number": "913-338-5585",
            "fax_number": "913-338-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "113711",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-28226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004526110004",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.