NPIMap

Organization Active NPI

Midwest Radiology Institute, PA

  • Diagnostic Radiology Physician
  • Shawnee, KS
National Provider Identifier
1770768012
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0525311 Issued in KS
Legal business name
MIDWEST RADIOLOGY INSTITUTE, PA
Practice address
22740 Midland Dr
Shawnee, KS 66226-3553
Phone
(913) 745-5300
Fax
(913) 745-5530
NPI assigned
Jan 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Dr. Kipp Allen Vancamp
Title
Owner/Physician
Phone
(913) 745-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 0525311 KS Primary

Addresses

Primary practice location

22740 Midland Dr
Shawnee, KS 66226-3553

Mailing address

22740 Midland Dr
Shawnee, KS 66226-3553
Phone (913) 745-5300

Other identifiers 3

IdentifierTypeStateIssuer
DH1928OtherKSRR MEDICARE
111397OtherKSBCBS
100234960JMedicaidKS

National Provider Directory

National Provider Directory

Locations

22740 Midland Dr
Shawnee, KS 66226
Phone (913) 422-4884

1230 SW Harvey St
Ste B
Topeka, KS 66604

Practitioners & affiliated clinicians

Practitioners 3

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": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1770768012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22740 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263553",
            "telephone_number": "913-745-5300",
            "fax_number": "913-745-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22740 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263553",
            "telephone_number": "913-745-5300",
            "fax_number": "913-745-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST RADIOLOGY INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "VANCAMP",
        "authorized_official_first_name": "KIPP",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "913-745-5300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0525311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DH1928",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "111397",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234960J",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.