Individual provider Active NPI

Lilly Varner, MD

  • Family Medicine Physician
  • Shawnee, KS
National Provider Identifier
1700440484
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-47256 Issued in KS
Practice address
9300 Meadow View Dr
Shawnee, KS 66227-7288
Phone
(913) 601-4500
NPI assigned
Apr 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 04-47256 KS Primary

Addresses

Primary practice location

9300 Meadow View Dr
Shawnee, KS 66227-7288

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230308002247 KS Practitioner - Family Practice 8224401450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
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)

9300 Meadow View Dr
Shawnee, KS 66227-7288
Phone (913) 601-4500

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Shawnee Mission, KS, CCN 178058
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-47256KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Medical Group PA Family Medicine CurrentSince Jan 27, 2023 Accepting new patients
Sunflower Medical Group, PA Family Medicine Past 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

9300 Meadow View Dr
Shawnee, KS 66227
Phone (913) 299-3700

Organizations & group practices 2

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": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1700440484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD STE 100",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 MEADOW VIEW DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662277288",
            "telephone_number": "913-601-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNER",
        "first_name": "LILLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-47256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.