Organization Active NPI

KC Infectious Disease Consultants LLC

  • Infectious Disease Physician
  • Shawnee, KS
National Provider Identifier
1710375175
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0424938 Issued in KS
Legal business name
KC INFECTIOUS DISEASE CONSULTANTS LLC
Practice address
7255 Renner Rd
Shawnee, KS 66217-3043
Phone
(913) 631-0405
Fax
(844) 327-7237
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Samir Desai, MDNPI 1952417644
Title
MD / Partner
Phone
(913) 631-0504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 0424938 KS Primary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 0427706 KS

Addresses

Primary practice location

7255 Renner Rd
Shawnee, KS 66217-3043

Mailing address

7255 Renner Rd
Shawnee, KS 66217-3043
Phone (913) 631-0405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150310001279 KS Part B Supplier - Clinic/Group Practice 1658697610 Receives reassigned benefits from 4 practitioners
Practice locations: Shawnee, KS

National Provider Directory

National Provider Directory

Locations

7255 Renner Rd
Ste 100
Shawnee, KS 66217
Phone (913) 321-0522

7255 Renner Rd
Shawnee Mission, KS 66217
Phone (913) 631-0405

Practitioners & affiliated clinicians

Practitioners 4

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": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1710375175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662173043",
            "telephone_number": "913-631-0405",
            "fax_number": "844-327-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662173043",
            "telephone_number": "913-631-0405",
            "fax_number": "844-327-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC INFECTIOUS DISEASE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "MD / PARTNER",
        "authorized_official_telephone_number": "913-631-0504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "0424938",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "0427706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.