Individual provider Active NPI

George E Stamos, MD

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1710971411
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-17080 Issued in KS
Practice address
10601 Quivira Rd
Suite 200
Overland Park, KS 66215-2310
Phone
(913) 541-3340
Fax
(913) 492-7857
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-17080 KS Primary

Addresses

Primary practice location

10601 Quivira Rd
Suite 200
Overland Park, KS 66215-2310

Mailing address

10601 Quivira Rd
Suite 200
Overland Park, KS 66215-2310
Phone (913) 541-3340

Other identifiers 3

IdentifierTypeStateIssuer
100092790CMedicaidKS
04-17080OtherKSMEDICAL LICENSE
1710971411MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GEORGE.STAMOS@hca2.eclinicaldirectplus.com

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
I20050209000408 KS Practitioner - Internal Medicine 4880645647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quivira Internal Medicine IncGroup PAC ID 1355392457, 12 clinicians

Practice addresses (Care Compare)

10601 Quivira Rd
Suite 200
Overland Park, KS 66215-2320
Phone (913) 541-3340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-17080KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quivira Internal Medicine Inc Internal Medicine CurrentSince Feb 1, 2005 Accepting new patients

Locations

10550 Quivira Rd
Ste 510
Overland Park, KS 66215
Phone (913) 492-5456

10601 Quivira Rd
Ste 200
Overland Park, KS 66215
Phone (913) 498-1134

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1710971411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 QUIVIRA RD",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152310",
            "telephone_number": "913-541-3340",
            "fax_number": "913-492-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 QUIVIRA RD",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152310",
            "telephone_number": "913-541-3340",
            "fax_number": "913-492-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMOS",
        "first_name": "GEORGE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-17080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092790C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "04-17080",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710971411",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GEORGE.STAMOS@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10601 Quivira Rd",
            "address_2": "SUITE 200",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.