NPIMap

Organization Active NPI

Diagnostic Radiology Institute of Kansas City, Inc.

  • Physiological Laboratory
  • Overland Park, KS
National Provider Identifier
1669464426
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
DIAGNOSTIC RADIOLOGY INSTITUTE OF KANSAS CITY, INC.
Practice address
6444 Metcalf Ave
Overland Park, KS 66202-3950
Phone
(913) 831-0509
Fax
(913) 831-0439
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathy Berwanger
Title
Facility Manager
Phone
(913) 831-0509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

6444 Metcalf Ave
Overland Park, KS 66202-3950

Mailing address

6444 Metcalf Ave
Overland Park, KS 66202-3950
Phone (913) 831-0509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050531000772 KS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0941242986 Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669464426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662023950",
            "telephone_number": "913-831-0509",
            "fax_number": "913-831-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662023950",
            "telephone_number": "913-831-0509",
            "fax_number": "913-831-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY INSTITUTE OF KANSAS CITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERWANGER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "913-831-0509"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.