Individual provider Active NPI

Mitchell Challis

  • Otolaryngology Physician
  • Overland Park, KS
National Provider Identifier
1679716732
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
04-37153 Issued in KS
Practice address
5370 College Blvd
Overland Park, KS 66211-1935
Phone
(913) 599-4800
Fax
(913) 599-2992
NPI assigned
Apr 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 04-37153 KS Primary

Addresses

Primary practice location

5370 College Blvd
Overland Park, KS 66211-1935

Mailing address

5370 College Blvd
Overland Park, KS 66211-1935
Phone (913) 599-4800

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
I20140812002259 KS Practitioner - Otolaryngology 4880830678 Reassigns benefits to 1 organization
I20141017001683 MO Practitioner - Otolaryngology 4880830678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Surgery of Kansas City P aGroup PAC ID 7911032131, 11 clinicians

Practice addresses (Care Compare)

5370 College Blvd
Suite 100
Overland Park, KS 66211-1891
Phone (913) 599-4800

8901 W 74TH St
Suite 121
Merriam, KS 66204-2201
Phone (913) 599-4800

Hospital & facility affiliations

  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182

Merit-based Incentive Payment System (MIPS)

Final score
79.87 of 100Reported as group
Quality
59.74
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Head & Neck Surgery of Kansas City P a CurrentSince Aug 1, 2014 Accepting new patients
Head & Neck Surgery of Kansas City P a Current Accepting new patients
Head & Neck Surgery of Kansas City P a CurrentSince Aug 1, 2014 Accepting new patients

Locations

5370 College Blvd
Ste 100
Overland Park, KS 66211
Phone (913) 933-0939

7840 W 165th St
Ste 280
Overland Park, KS 66223
Phone (913) 381-0622

8901 W 74th St
Ste 121
Shawnee Msn, KS 66204
Phone (913) 261-2223

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

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": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1679716732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111935",
            "telephone_number": "913-599-4800",
            "fax_number": "913-599-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111935",
            "telephone_number": "913-599-4800",
            "fax_number": "913-599-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLIS",
        "first_name": "MITCHELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-19",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "04-37153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.