NPIMap

Individual provider Active NPI

Dorota J Walewicz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Leawood, KS
National Provider Identifier
1720056054
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
04-37233 Issued in KS
Practice address
5405 W 151St St
Leawood, KS 66224-8700
Phone
(913) 323-8830
Fax
(913) 323-8831
NPI assigned
Mar 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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 2004027810 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 04-37233 KS Primary

Addresses

Primary practice location

5405 W 151St St
Leawood, KS 66224-8700

Mailing address

5405 W 151St St
Leawood, KS 66224-8700
Phone (913) 323-8830

Other identifiers 1

IdentifierTypeStateIssuer
207264904MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050708000853 MO Practitioner - EndocrinologyPractitioner - Internal Medicine 3779519020 Reassigns benefits to 1 organization
I20150729009743 KS Practitioner - Endocrinology 3779519020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

5405 W 151St St
SLMG Blue Valley
Leawood, KS 66224-8700
Phone (913) 323-8830

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Anderson County Hospital Hospital, Garnett, KS, CCN 171316
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Allen County Regional Hospital Hospital, Iola, KS, CCN 171373
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Merit-based Incentive Payment System (MIPS)

Final score
94.94 of 100Reported as group
Quality
91.35
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004027810MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc Internal Medicine CurrentSince Aug 31, 2015 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Sep 14, 2017 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Sep 14, 2017 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

5405 W 151st St
Leawood, KS 66224
Phone (913) 323-8830

12541 Foster St
Ste 240
Overland Park, KS 66213
Phone (913) 317-3170

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

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 9

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1720056054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 W 151ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248700",
            "telephone_number": "913-323-8830",
            "fax_number": "913-323-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 W 151ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248700",
            "telephone_number": "913-323-8830",
            "fax_number": "913-323-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALEWICZ",
        "first_name": "DOROTA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-11",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004027810",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KS",
            "license": "04-37233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207264904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.