Individual provider Active NPI

Chad Winters, D.O.

  • Family Medicine Physician
  • Lenexa, KS
National Provider Identifier
1710942891
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33455 Issued in KS
Practice address
23351 Prairie Star Pkwy Ste A245
Lenexa, KS 66227-7301
Phone
(913) 676-8630
Fax
(913) 676-8635
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33455 KS Primary
Family Medicine Physician 207Q00000X 2002012703 MO

Addresses

Primary practice location

23351 Prairie Star Pkwy Ste A245
Lenexa, KS 66227-7301

Mailing address

23351 Prairie Star Pkwy Ste A245
Lenexa, KS 66227-7301
Phone (913) 676-8630

Other practice location 1

6815 Hilltop Rd
Suite 100
Shawnee, KS 66226-3532
Phone (913) 499-2020

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
I20080911000662 KS Practitioner - Family Practice 6305912569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability KCGroup PAC ID 0143116368, 166 clinicians

Practice addresses (Care Compare)

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33455KSMDFamily Medicine Physician
2002012703MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center, Inc. CurrentSince Apr 8, 2020 Accepting new patients
Shawnee Mission Medical Center Inc Family Medicine CurrentSince Aug 18, 2008 Accepting new patients
Shawnee Mission Medical Center, Inc. Family Medicine CurrentSince Apr 8, 2020 Accepting new patients

Locations

7315 E Frontage Rd
Ste 202
Merriam, KS 66204

6815 Hilltop Rd
Ste 100
Shawnee, KS 66226
Phone (816) 468-8820

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Interoperability endpoints

  • Direct secure messaging: cwinters661951@adventhealth.direct-ci.com

Organizations & group practices 4

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 4

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1710942891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY STE A245",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277301",
            "telephone_number": "913-676-8630",
            "fax_number": "913-676-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY STE A245",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277301",
            "telephone_number": "913-676-8630",
            "fax_number": "913-676-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6815 Hilltop Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662263532",
            "country_code": "US",
            "telephone_number": "913-499-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "33455",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002012703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.