Individual provider Active NPI

John Milton Greenwood, MD

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1750333670
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-23547 Issued in KS
Practice address
8708 W 135TH St
Overland Park, KS 66221-2036
Phone
(913) 851-9800
Fax
(913) 851-9888
NPI assigned
May 17, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-23547 KS Primary

Addresses

Primary practice location

8708 W 135TH St
Overland Park, KS 66221-2036

Mailing address

8708 W 135TH St
Overland Park, KS 66221-2036
Phone (913) 851-9800

Other identifiers 1

IdentifierTypeStateIssuer
100182560BMedicaidKS

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
I20100312000622 KS Practitioner - Family Practice 1850426057 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Health Physicians, Inc. Family Medicine CurrentSince Apr 1, 1999 Accepting new patients
Olathe Health Physicians, Inc. Family Medicine Current Accepting new patients
Olathe Health Physicians, Inc. CurrentSince Apr 1, 1999 Accepting new patients

Locations

20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

8708 W 135th St
Overland Park, KS 66221
Phone (913) 851-9800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1750333670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662212036",
            "telephone_number": "913-851-9800",
            "fax_number": "913-851-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662212036",
            "telephone_number": "913-851-9800",
            "fax_number": "913-851-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "JOHN",
        "middle_name": "MILTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-23547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100182560B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.