Organization Active NPI

Kansas Regencares Medical Center LLC

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1790657435
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KANSAS REGENCARES MEDICAL CENTER LLC
Practice address
12701 Metcalf Ave Ste 201
Overland Park, KS 66213-2831
Phone
(913) 250-4326
NPI assigned
Sep 22, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Saleem Shahzad, MDNPI 1588616296
Title
Owner
Phone
(913) 250-4326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12701 Metcalf Ave Ste 201
Overland Park, KS 66213-2831

Mailing address

12701 Metcalf Ave Ste 201
Overland Park, KS 66213-2831
Phone (913) 250-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251031002516 KS Part B Supplier - Clinic/Group Practice 2668961343 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2338739Kansas Regencares Medical Center12701 Metcalf Avenue, Suite 201, Overland Park, KS 66213Certificate of waiverFeb 16, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1790657435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 METCALF AVE STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132831",
            "telephone_number": "913-250-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 METCALF AVE STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132831",
            "telephone_number": "913-250-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS REGENCARES MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "SHAHZAD",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-250-4326",
        "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 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 22, 2025; 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.

Verify at the official NPI Registry.