Individual provider Active NPI

Tam Thanh Chieu, DNP

  • Nurse Practitioner
  • Merriam, KS
National Provider Identifier
1730726084
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-78798-052 Issued in KS
Practice address
7450 Kessler St Ste 110
Merriam, KS 66204-2550
Phone
(913) 831-1003
Fax
(913) 831-4801
NPI assigned
Dec 5, 2019
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019032482 MO
Nurse Practitioner 363L00000X 53-78798-052 KS Primary

Addresses

Primary practice location

7450 Kessler St Ste 110
Merriam, KS 66204-2550

Mailing address

7450 Kessler St Ste 110
Merriam, KS 66204-2550
Phone (913) 831-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200805002501 KS Practitioner - Nurse Practitioner 9537584750 Reassigns benefits to 1 organization
I20220721000882 MO Practitioner - Nurse Practitioner 9537584750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

4321 Washington St
Suite 5300
Kansas City, MO 64111-5931
Phone (816) 531-1234

7450 Kessler
Suite 110
Merriam, KS 66204-2207
Phone (913) 831-1003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-78798-052KSMDNurse Practitioner
2019032482MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Urology Care, P.a. CurrentSince Sep 11, 2022 Accepting new patients

Locations

10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585

7450 Kessler St
Ste 110
Overland Park, KS 66204
Phone (913) 831-1003

8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985

4321 Washington St
Ste 5300
Kansas City, MO 64111
Phone (816) 531-1234

Interoperability endpoints

  • Direct secure messaging: tchieu463486@direct.saint-lukes.org

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, 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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1730726084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 110",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042550",
            "telephone_number": "913-831-1003",
            "fax_number": "913-831-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 110",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042550",
            "telephone_number": "913-831-1003",
            "fax_number": "913-831-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEU",
        "first_name": "TAM",
        "middle_name": "THANH",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019032482",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78798-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.