Saint Lukes South Hospital, Inc.
Organization Active NPI Rehabilitation Hospital Unit · Overland Park, KS
NPI 1790767812 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1790767812
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- Legal business name
- SAINT LUKES SOUTH HOSPITAL, INC.
- Practice address
- 12300 Metcalf Ave
Overland Park, KS 66213-1324 - Phone
- (913) 317-7000
- NPI assigned
- Nov 15, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- SAINT LUKES SOUTH HOSPITAL , INC.
Authorized official
- Name
- Matthew L Marino
- Title
- Vice President
- Phone
- (816) 347-5000
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 4
Related certifications (CCN) 1
Facilities with the same owner 33
Affiliated clinicians 10
-
Tarek Darwish, MD
-
Achal K Desai, M.D.
-
Cole Kretchmar, DO
-
Jeffrey T Roith, D.P.M.
-
Apurva R Chopade, MD
-
Lisa Marie Hermes, M.D.
-
Rakesh Vardey, MD
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Saint Lukes South Hospital
- Ownership
- Non-profit
- Certified
- Jan 1, 2007
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Hospital certification: CCN 17T185
- Legal name
- SAINT LUKE'S SOUTH HOSPITAL INC
- Doing business as
- ST LUKE'S SOUTH HOSPITAL INC
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 8, 1998 in KS
- Enrollment address
- 12300 Metcalf Ave
Overland Park, KS 66213-1324 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Robert L Olm-Shipman |
Corporate Officer |
Sep 8, 2015 | |
| Corporate Director |
Sep 8, 2015 | ||
| W-2 Managing Employee |
Sep 8, 2015 | ||
| James P O'Hara |
Corporate Director |
Jan 1, 2022 | |
| Charles Horner |
Corporate Director |
May 31, 2023 | |
| Matthew Marino |
Corporate Officer | Jan 1, 2018 | |
| W-2 Managing Employee |
Jan 1, 2019 | ||
| Willie F Pegues |
Corporate Director |
Jan 1, 2022 | |
| Saint Lukes Health System Inc |
5% Or Greater Direct Ownership Interest | Nov 30, 1998 | 100% |
| BJC Health System |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 100% |
| Matthew D Sheets |
Corporate Director |
Jan 1, 2022 | |
| Wendy Guillies |
Corporate Director |
Jan 1, 2018 | |
| Stephanie S Clayton |
Corporate Director |
Jan 1, 2024 | |
| Daniel C Smith |
Corporate Director |
Jan 1, 2022 | |
| Julie Quirin |
Corporate Officer |
Jan 1, 2024 | |
| David B Parmet |
Corporate Director |
Jan 1, 2024 | |
| Sanjeev Khurana |
Corporate Director |
Jan 1, 2018 | |
| Christine Ricci |
Corporate Director |
May 31, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090224000171 | KS | Part a Provider - Hospital | 9931183969 | Practice locations: Overland Park, KS |
National Provider Directory
- Tax ID family
- Julie a Martin MD
- Part of
- Julie a Martin MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | Yes |
Addresses
Primary practice location
12300 Metcalf Ave
Overland Park, KS 66213-1324
Mailing address
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013990007 | Medicaid | MO | |
| 100332210A | Medicaid | KS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4 | Health Information Exchange (HIE) |
Other providers in Overland Park, KS
- Saint Lukes Northland Hospital Corporation
- Saint Lukes Physician Group Inc
- Saint Lukes Physician Group Inc
- Saint Lukes South Hospital Inc
- Saint Lukes South Hospital, Inc.
- Saint Lukes South Pain Management Center LLC
- Saint Lukes South Surgery Center LLC
- Hisako Sakuraba
- Abibatou Salami
- Yezan Mohamed Salamoun
All providers in Overland Park, KS · Rehabilitation Hospital Unit in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.