NPIMap

Organization Active NPI

Midwest Pathology Associates LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Overland Park, KS
National Provider Identifier
1790748580
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MIDWEST PATHOLOGY ASSOCIATES LLC
Practice address
8005 W 110TH St Ste 200
Overland Park, KS 66210-2619
Phone
(913) 341-6297
Fax
(913) 663-0191
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Dr. Russell Lee Benson, M.D,NPI 1427011998
Title
President
Phone
(913) 341-6297

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
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

8005 W 110TH St Ste 200
Overland Park, KS 66210-2619

Mailing address

PO Box 26827
Overland Park, KS 66225-6827
Phone (913) 341-6297

Other identifiers 4

IdentifierTypeStateIssuer
22900058OtherMOKANSAS CITY BCBS
100294690A AND BMedicaidKS
508616307MedicaidMO
705925OtherKSBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719001116 KS Part B Supplier - Clinic/Group Practice 6406848969 Receives reassigned benefits from 2 practitioners
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
17D2227386Midwest Pathology Associates, LLC8005 W 110TH Street, Suite 200, Overland Park, KS 66210ComplianceFeb 14, 2028

National Provider Directory

National Provider Directory

Locations

8005 W 110th St
Ste 200
Overland Park, KS 66210
Phone (913) 341-6297

8005 W 110th St
Overland Park, KS 66210

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1790748580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26827",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662256827",
            "telephone_number": "913-341-6297",
            "fax_number": "913-663-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 W 110TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102619",
            "telephone_number": "913-341-6297",
            "fax_number": "913-663-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PATHOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-341-6297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS CITY BCBS",
            "identifier": "22900058",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100294690A AND B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508616307",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "705925",
            "state": "KS"
        }
    ],
    "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 Mar 31, 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.