Active NPI
Family Physicians of Kansas L.L.C.
- Family Medicine Physician
- Andover, KS
National Provider Identifier
1760455752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY PHYSICIANS OF KANSAS L.L.C.
- Practice address
- 524 N Andover Rd
Andover, KS 67002-9712 - Phone
- (316) 733-0716
- Fax
- (316) 733-1240
- NPI assigned
- Feb 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James M Hartley, MD
- Title
- President
- Phone
- (316) 733-0716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
524 N Andover Rd
Andover, KS 67002-9712
Mailing address
524 N Andover Rd
Andover, KS 67002-9712
Phone (316) 733-0716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050518001168 | KS | Part B Supplier - Clinic/Group Practice | 1759322829 |
Receives reassigned benefits from 4 practitioners Practice locations: Andover, KS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0926142 | Family Physicians of Kansas, LLC | Certificate of waiver | Jul 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
524 N Andover Rd
Andover, KS 67002
Phone (316) 733-0716
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAGDBA
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760455752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 N ANDOVER RD",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670029712",
"telephone_number": "316-733-0716",
"fax_number": "316-733-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 N ANDOVER RD",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670029712",
"telephone_number": "316-733-0716",
"fax_number": "316-733-1240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PHYSICIANS OF KANSAS L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARTLEY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "316-733-0716",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.