Individual provider Active NPI

Stephen R Smalley, MD

  • Radiation Oncology Physician
  • Olathe, KS
National Provider Identifier
1750344933
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
04-21824 Issued in KS
Practice address
20375 W 151St St
Olathe, KS 66061-7218
Phone
(913) 768-7200
Fax
(913) 768-9712
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 107164 MO
Radiation Oncology Physician 2085R0001X 04-21824 KS Primary

Addresses

Primary practice location

20375 W 151St St
Olathe, KS 66061-7218

Mailing address

6601 Winchester Ave
Suite 230
Kansas City, MO 64133-4677
Phone (816) 313-2677

Other identifiers 2

IdentifierTypeStateIssuer
100189660AMedicaidKS
203673918MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100201000005 KS Practitioner - Radiation Oncology 7618926437 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-21824KSMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Health Physicians, Inc. Current Accepting new patients
Providence Care an Operating Division of Providence Medical Ctr Past Accepting new patients
Midwest Urology & Radiation Oncology, Inc, PC. Past Accepting new patients
Providence Care Inc Past Accepting new patients

Locations

15123 S Omc Pkwy
Olathe, KS 66061
Phone (913) 355-8000

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

Organizations & group practices 4

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1750344933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 WINCHESTER AVE",
            "address_2": "SUITE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334677",
            "telephone_number": "816-313-2677",
            "fax_number": "816-313-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617218",
            "telephone_number": "913-768-7200",
            "fax_number": "913-768-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "107164",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-21824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189660A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203673918",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.