KC Pulmonary Associates, Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

KC PULMONARY ASSOCIATES, INC

Practice address

16663 Midland Dr
Suite 100
Shawnee, KS 66217-3042

Phone

(913) 268-5400

Fax

(913) 268-5410

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sabato A Sisillo, M.D.NPI 1578660585

Title

Owner

Phone

(913) 268-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sabato A Sisillo, M.D.

  • Pulmonary Disease Physician
  • Shawnee, KS
  • NPI 1578660585
  Medicare reassignment Care Compare group Authorized official
• Aman U Khan, M.D.

  • Pulmonary Disease Physician
  • Kansas City, KS
  • NPI 1235236258
  Medicare reassignment Care Compare group NPD
• George R Reisz, M.D.

  • Pulmonary Disease Physician
  • Kansas City, MO
  • NPI 1366401929

  KS

  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730286733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25787",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662255787",
            "telephone_number": "913-268-5400",
            "fax_number": "913-268-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16663 MIDLAND DR",
            "address_2": "SUITE 100",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662173042",
            "telephone_number": "913-268-5400",
            "fax_number": "913-268-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC PULMONARY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SISILLO",
        "authorized_official_first_name": "SABATO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-268-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "32577015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kile Renee Kaspar, D.C.
• Manpreet Kaur
• Simranjit Kaur
• KBN Diagnostics LLC
• KC Infectious Disease Consultants LLC
• KC Shoe Stop, LLC (KCSS Specialty Durable Medical)
• KC Therapy Company LLC
• Kcas, LLC (KCAS Clinical Laboratory)
• Martin Ryan Keegan, PHARM.D
• Donald Keeney III, PHARMD

• Pulmonary Disease Physician in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Pulmonary Disease Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.