Individual provider Active NPI

Arnold Jay Pollak, MD

  • Cardiovascular Disease Physician
  • Overland Park, KS
National Provider Identifier
1790769685
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
04-38806 Issued in KS
Practice address
10168 Mackey St
Overland Park, KS 66212-3464
Phone
(206) 349-3367
Fax
(206) 649-7013
NPI assigned
Dec 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G63848 CA
Cardiovascular Disease Physician 207RC0000X 04-38806 KS Primary
Cardiovascular Disease Physician 207RC0000X 86360-20 WI
Cardiovascular Disease Physician 207RC0000X 81196 MN
Cardiovascular Disease Physician 207RC0000X 23935 ND
Cardiovascular Disease Physician 207RC0000X CDR.0006068 CO
Cardiovascular Disease Physician 207RC0000X MD00039797 WA
Cardiovascular Disease Physician 207RC0000X MD56078 IA

Addresses

Primary practice location

10168 Mackey St
Overland Park, KS 66212-3464

Mailing address

10168 Mackey St
Overland Park, KS 66212-3464
Phone (206) 349-3367

Other practice location 1

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (303) 390-1940

Other practice location 2

939 Caroline St
Port Angeles, WA 98362-3909
Phone (303) 390-1940

Other practice location 3

1221 Highland Ave
Clarkston, WA 99403-2829
Phone (303) 390-1940

Other practice location 4

603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (303) 390-1940

Other practice location 5

110 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (303) 390-1940

Other practice location 6

510 8th Ave NE
Hazen, ND 58545-4637
Phone (701) 748-2225

Other practice location 7

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (303) 390-1940

Other practice location 8

1650 4th St SE
Rochester, MN 55904-4717
Phone (303) 390-1940

Other practice location 9

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone (303) 390-1940

Other practice location 10

333 E 2nd St
Richland Center, WI 53581-1914
Phone (608) 647-6321

Other practice location 11

1111 11th St
Hawarden, IA 51023-1903
Phone (303) 390-1940

Other practice location 12

1720 Central Ave E Ste A
Hampton, IA 50441-1867
Phone (303) 390-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WI, CO, MN, TN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040223000116 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 4789578055 Reassigns benefits to 1 organization
I20251021000838 WI Practitioner - Cardiovascular Disease (Cardiology) 4789578055 Reassigns benefits to 1 organization
I20251107000736 CO Practitioner - Cardiovascular Disease (Cardiology) 4789578055 Reassigns benefits to 1 organization
I20251110003067 MN Practitioner - Cardiovascular Disease (Cardiology) 4789578055 Reassigns benefits to 1 organization
I20251202000554 TN Practitioner - Cardiovascular Disease (Cardiology) 4789578055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 560-4000

1221 Highland Ave
Clarkston, WA 99403-2829
Phone (509) 758-5511

18797 Alberta St
Oneida, TN 37841-2127
Phone (423) 569-8521

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone (303) 390-1926

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

Hospital & facility affiliations

  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G63848CAMDCardiovascular Disease Physician
CDR.0006068COMDCardiovascular Disease Physician
MD56078IAMDCardiovascular Disease Physician
04-38806KSMDCardiovascular Disease Physician
81196MNMDCardiovascular Disease Physician
23935NDMDCardiovascular Disease Physician
86360-20WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Physicians Group - Pannu PLLC CurrentSince Oct 28, 2025 Accepting new patients
Rural Physicians Group-Pannu PLLC Cardiovascular Disease CurrentSince Oct 1, 2025 Accepting new patients
Rural Physicians Group-Pannu PLLC CurrentSince Oct 29, 2025 Accepting new patients
Diagnostic Services Associates Cardiovascular Disease Past Accepting new patients
Heartbeat Medical Institute PLLC Cardiovascular Disease PastSince Feb 9, 2004 Accepting new patients

Locations

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

1720 Central Ave E
Ste A
Hampton, IA 50441
Phone 3033901940 ext. 86349

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

510 8th Ave NE
Hazen, ND 58545
Phone (701) 748-2225

18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

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            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1311 N Mildred Rd",
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            "country_name": "United States",
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            "country_name": "United States",
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        {
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            "country_name": "United States",
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        {
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            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535811914",
            "country_code": "US",
            "telephone_number": "608-647-6321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 11th St",
            "address_purpose": "LOCATION",
            "city": "Hawarden",
            "state": "IA",
            "postal_code": "510231903",
            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
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            "postal_code": "504411867",
            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "ARNOLD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-04",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
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            "taxonomy_group": "",
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        },
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            "license": "04-38806",
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            "taxonomy_group": "",
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            "license": "86360-20",
            "primary": false
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        {
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            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "81196",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ND",
            "license": "23935",
            "primary": false
        },
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            "taxonomy_group": "",
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            "license": "CDR.0006068",
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            "taxonomy_group": "",
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            "license": "MD00039797",
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            "license": "MD56078",
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        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.