Kansas University Physicians Inc
Organization Active NPI Neurology Physician · Kansas City, KS
NPI 1770629602 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1770629602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- KANSAS UNIVERSITY PHYSICIANS INC
- Practice address
- 4000 Cambridge St
Kansas City, KS 66160-8501 - Phone
- (913) 588-1227
- NPI assigned
- Jan 29, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- KANSAS UNIVERSITY PHYSICIANS INC
Authorized official
- Name
- Audrey Claire Besenyi
- Title
- Asst. Director
- Phone
- (913) 832-7231
Other NPIs on the same Medicare enrollment 21
Practitioners 102
-
Ala Naim Abusalim, PA-C
-
Dipika Aggarwal, MD
-
Tiffany Barkley, D.O.
-
Natalie Bartnik, DO
-
Jeffrey M Burns, M.D.
-
Cole Campbell, AU.D.
-
Mazen M Dimachkie, M.D.
-
Victoria Renee Draffan, APRN
-
Richard M Dubinsky, M.D.
-
Krishna Dummula, M.D., M.P.H.
-
Eric Phillip Ecklund-Johnson, PH.D.
-
Carley Ann Ellis, MD
-
Samantha Annette Fikru, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040401000328 | KS | Part B Supplier - Clinic/Group Practice | 8921911587 |
Receives reassigned benefits from 2,178 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20101228000020 | MO | Part B Supplier - Clinic/Group Practice | 8921911587 |
Receives reassigned benefits from 330 practitioners 17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kansas City, MO; Lees Summit, MO; Liberty, MO; North Kansas City, MO; Parkville, MO; Saint Joseph, MO; Saint Louis, MO; Excelsior Springs, MO… |
National Provider Directory
- Part of
- Kupi Pathology
Locations
3599 Rainbow Blvd
Stop 2012
Kansas City, KS 66103
Phone (913) 588-6996
3901 Rainbow Blvd
Stop 4017
Kansas City, KS 66160
Phone (913) 588-6670
10777 Nall Ave
Overland Park, KS 66211
Phone (913) 312-1777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes | ||
| Clinical Neurophysiology Physician |
2084N0600X |
Addresses
Primary practice location
4000 Cambridge St
Kansas City, KS 66160-8501
Mailing address
11300 Corporate Ave
Lenexa, KS 66219-1374
Phone (913) 588-6111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01340024 | Other | MO | BCBS KC GRP NUMBER |
| 062058 | Other | KS | BCBS KS GRP NUMBER |
| 100217430B | Medicaid | KS | |
| 502096100 | Medicaid | MO |
Other names
- KU Neurology
Other providers in Kansas City, KS
- Kansas University Physicians Inc
- Kansas University Physicians Inc
- Kansas University Physicians Inc
- Kansas University Physicians Inc
- Kansas University Physicians Inc
- Kansas University Physicians Inc
- Kansas University Physicians Inc
- Kansas University Physicians Inc
- Kansas University Physicians Inc
- Kansas University Physicians Inc
All providers in Kansas City, KS · Neurology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.