NPIMap

Individual provider Active NPI

Karol L Davis, MD

  • Family Medicine Physician
  • Kansas City, KS
National Provider Identifier
1679531891
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0430346 Issued in KS
Practice address
2040 Hutton Rd
Suite 102
Kansas City, KS 66109-4566
Phone
(913) 299-3700
Fax
(913) 299-3050
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0430346 KS Primary

Addresses

Primary practice location

2040 Hutton Rd
Suite 102
Kansas City, KS 66109-4566

Mailing address

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205-2538
Phone (913) 432-2080

Other identifiers 2

IdentifierTypeStateIssuer
200357860AMedicaidKS
100216770CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000995 KS Practitioner - Family Practice 0941269823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunflower Medical Group PAGroup PAC ID 0042286106, 36 clinicians

Practice addresses (Care Compare)

2040 Hutton Rd
Suite 102
Kansas City, KS 66109-4566
Phone (913) 299-3700

5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2515
Phone (913) 432-2080

5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2538

Hospital & facility affiliations

  • Spectrum Home Health, Inc Home health agency, Kansas City, KS, CCN 177234
  • Aquinas Home Health Home health agency, Shawnee, KS, CCN 178008
  • Aquinas/Carondelet Home Health Home health agency, Shawnee, KS, CCN 177183
  • Phoenix Home Care Home health agency, Overland Park, KS, CCN 178077
  • Providence Medical Center Hospital, Kansas City, KS, CCN 170146
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0430346KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Medical Group PA Family Medicine CurrentSince Jan 1, 2006 Accepting new patients

Locations

2040 Hutton Rd
Ste 102
Kansas City, KS 66109
Phone (913) 299-3700

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205
Phone (913) 432-2080

Interoperability endpoints

  • Direct secure messaging: karoldavis@smgks.allscriptsdirect.net

Organizations & group practices 1

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 9

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1679531891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD",
            "address_2": "STE 100",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052538",
            "telephone_number": "913-432-2080",
            "fax_number": "913-432-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD",
            "address_2": "SUITE 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094566",
            "telephone_number": "913-299-3700",
            "fax_number": "913-299-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAROL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-05-21",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0430346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200357860A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100216770C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.