Active NPI
Lynn H Roh, MD
- Otolaryngology Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- R4J74
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15179023 | Other | MO | BCBS OF KC |
| 100127200G | Medicaid | KS | |
| 204510882 | Other | MO | CHAMPUS |
| 4091626 | Other | MO | AETNA |
| 750469 | Other | MO | UNITED HEALTHCARE |
| 100127200F | Medicaid | KS | |
| 203057302 | Medicaid | MO |
Other names 1
- Lynn Hilsabeck
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4J74 | MO | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Otolaryngology | Current | Accepting new patients |
| Kansas University Physicians Inc | Otolaryngology | Current | Accepting new patients |
| Kansas University Physicians Inc | Current | 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 | Past | 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
- 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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
Otolaryngology
-
- Otolaryngology Physician
- Kansas City, KS
- NPI 1346386265
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Otolaryngology Physician
- Lees Summit, MO
- NPI 1649206319
-
- Otolaryngology Physician
- Kansas City, MO
- NPI 1790733012
-
- State or Local Public Health Clinic/Center
- Lees Summit, MO
- NPI 1861697955
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.