Individual provider Active NPI

Lynn H Roh, MD

  • Otolaryngology Physician
  • Overland Park, KS
National Provider Identifier
1740242569
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
R4J74 Issued in MO
Practice address
10787 Nall Ave Ste 220
Overland Park, KS 66211-1329
Phone
(913) 574-0780
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 04-25533 KS
Otolaryngology Physician 207Y00000X R4J74 MO Primary

Addresses

Primary practice location

10787 Nall Ave Ste 220
Overland Park, KS 66211-1329

Mailing address

3901 Rainbow Blvd
Kansas City, KS 66160-8500

Other practice location 1

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-6701

Other practice location 2

2101 Charlotte St
Kansas City, MO 64108-2727
Phone (816) 404-4365

Other identifiers 7

IdentifierTypeStateIssuer
15179023OtherMOBCBS OF KC
100127200GMedicaidKS
204510882OtherMOCHAMPUS
4091626OtherMOAETNA
750469OtherMOUNITED HEALTHCARE
100127200FMedicaidKS
203057302MedicaidMO

Other names 1

  • Lynn Hilsabeck Former name

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
I20060811000389 KS Practitioner - Otolaryngology 6305849316 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4J74MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Otolaryngology CurrentSince Jan 14, 2013 Accepting new patients
Kansas University Physicians Inc Otolaryngology Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 14, 2013 Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients
Old Westport ENT & Allergy, Inc Otolaryngology Past Accepting new patients
Ascentist Physicians Group, LLC Otolaryngology PastSince Oct 1, 2006 Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111

10720 Nall Ave
Overland Park, KS 66211
Phone (913) 588-8411

10787 Nall Ave
Ste 220
Overland Park, KS 66211
Phone (913) 574-0780

2301 Holmes St
Kansas City, MO 64108

Interoperability endpoints

  • Direct secure messaging: lynn.roh@direct.tmcmed.org

Organizations & group practices 6

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1740242569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10787 NALL AVE STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111329",
            "telephone_number": "913-574-0780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661608500",
            "country_code": "US",
            "telephone_number": "913-588-6701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Charlotte St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082727",
            "country_code": "US",
            "telephone_number": "816-404-4365",
            "fax_number": "816-404-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROH",
        "first_name": "LYNN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "04-25533",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "R4J74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "15179023",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100127200G",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "204510882",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4091626",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "750469",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100127200F",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203057302",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "HILSABECK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.