NPIMap

Organization Active NPI

Overland Park Surgical Specialties LLC

Doing business as College Park Family Care Center Physicians Group

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1760798540
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OVERLAND PARK SURGICAL SPECIALTIES LLC
Doing business as
College Park Family Care Center Physicians Group
Practice address
11755 W 112TH St
Suite 202
Overland Park, KS 66210-2742
Phone
(913) 469-0433
NPI assigned
Aug 31, 2010
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Benjamin Calkins
Title
Group Vice President
Phone
(615) 372-6536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

11755 W 112TH St
Suite 202
Overland Park, KS 66210-2742

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Other names 1

  • College Park Family Care Center Physicians Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110119001046 KS Part B Supplier - Clinic/Group Practice 9234318502 Receives reassigned benefits from 97 practitioners
Practice locations: Olathe, KS; Stanley, KS; Overland Park, KS; Lenexa, KS
O20180215001956 MO Part B Supplier - Clinic/Group Practice 9234318502 Receives reassigned benefits from 3 practitioners
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1803 S Ridgeview Rd
Olathe, KS 66062
Phone (913) 541-5500

10500 Quivira Rd
Ste 130
Overland Park, KS 66215
Phone (913) 956-4200

10600 Mastin St
Ste B
Overland Park, KS 66212
Phone (913) 469-6447

10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447

11755 W 112th St
Overland Park, KS 66210
Phone (913) 469-0624

11755 W 112th St
Ste 100
Overland Park, KS 66210
Phone (913) 956-4222

12140 W 135th St
Overland Park, KS 66221
Phone (913) 897-4667

5401 College Blvd
Ste 205
Overland Park, KS 66211
Phone (913) 339-6838

Practitioners & affiliated clinicians

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 117

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1760798540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 W 112TH ST",
            "address_2": "SUITE 202",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102742",
            "telephone_number": "913-469-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAND PARK SURGICAL SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-6536"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Park Family Care Center Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.