Active NPI
Lisa M Vansaghi, M.D.
- Internal Medicine Physician
- Overland Park, KS
National Provider Identifier
1780786095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-30109
- Practice address
- 6700 W 115TH St
#3519
Overland Park, KS 66211-1553 - Phone
- (913) 708-6144
- Fax
- (913) 708-7607
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-30109 | KS | Primary |
| Hospitalist Physician | 208M00000X | 04-30109 | KS |
Addresses
Primary practice location
6700 W 115TH St
#3519
Overland Park, KS 66211-1553
Mailing address
6700 W 115TH St
#3519
Overland Park, KS 66211-1553
Phone (913) 708-6144
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32856011 | Other | MO | BCBS KC |
| 100454310A | Medicaid | KS | |
| 208406306 | Medicaid | MO |
Other names 1
- Lisa Marie Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-30109 | KS | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1780786095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 W 115TH ST",
"address_2": "#3519",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111553",
"telephone_number": "913-708-6144",
"fax_number": "913-708-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 W 115TH ST",
"address_2": "#3519",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111553",
"telephone_number": "913-708-6144",
"fax_number": "913-708-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANSAGHI",
"first_name": "LISA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-30109",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KS",
"license": "04-30109",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "32856011",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100454310A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208406306",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "BROWN",
"middle_name": "MARIE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}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 Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.