NPIMap

Individual provider Active NPI

Andrea A Arvan, MD

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1710978705
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-26499 Issued in KS
Practice address
12140 Nall Ave Ste 125
Overland Park, KS 66209-2503
Phone
(913) 319-7300
Fax
(913) 498-1551
NPI assigned
Oct 31, 2005
Last updated
Nov 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 111706 MO
Internal Medicine Physician 207R00000X 04-26499 KS Primary

Addresses

Primary practice location

12140 Nall Ave Ste 125
Overland Park, KS 66209-2503

Mailing address

12140 Nall Ave Ste 125
Overland Park, KS 66209-2503
Phone (913) 319-7300

Other identifiers 2

IdentifierTypeStateIssuer
200307370MedicaidKS
208404400MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000997 KS Practitioner - Internal MedicinePractitioner - Other (Physician) 9032247150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frontier Healthcare LLCGroup PAC ID 6305103383, 2 clinicians

Practice addresses (Care Compare)

12140 Nall Ave
Suite 125
Overland Park, KS 66209-2503
Phone (913) 498-1551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-26499KSMDInternal Medicine Physician
111706MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arvan Integrative Health Care Internal Medicine Current Accepting new patients

Locations

7410 Switzer Rd
Shawnee Msn, KS 66203
Phone (913) 362-2221

Interoperability endpoints

  • Direct secure messaging: andrea.arvan.1@16849.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1710978705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092503",
            "telephone_number": "913-319-7300",
            "fax_number": "913-498-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092503",
            "telephone_number": "913-319-7300",
            "fax_number": "913-498-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVAN",
        "first_name": "ANDREA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "111706",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-26499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200307370",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208404400",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.