Active NPI
Arnold Jay Pollak, MD
- Cardiovascular Disease Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 04-38806
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040223000116 | WA | Practitioner - Cardiovascular Disease (Cardiology) | 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 PLLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63848 | CA | MD | Cardiovascular Disease Physician |
| CDR.0006068 | CO | MD | Cardiovascular Disease Physician |
| MD56078 | IA | MD | Cardiovascular Disease Physician |
| 04-38806 | KS | MD | Cardiovascular Disease Physician |
| 81196 | MN | MD | Cardiovascular Disease Physician |
| 23935 | ND | MD | Cardiovascular Disease Physician |
| 86360-20 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Physicians Group - Pannu PLLC | Current | Accepting new patients | |
| Rural Physicians Group-Pannu PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Rural Physicians Group-Pannu PLLC | Current | Accepting new patients | |
| Diagnostic Services Associates | Cardiovascular Disease | Past | Accepting new patients |
| Heartbeat Medical Institute PLLC | Cardiovascular Disease | Past | 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.
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1891236584
Cardiovascular Disease, CO, TN, WA, WI
-
- Cardiovascular Disease Physician
- Burien, WA
- NPI 1295899144
Cardiovascular Disease
-
- Hospitalist Physician
- Delta, CO
- NPI 1851972087
-
- Internal Medicine Physician
- Palestine, TX
- NPI 1336170968
Cardiovascular Disease
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1790769685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10168 MACKEY ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662123464",
"telephone_number": "206-349-3367",
"fax_number": "206-649-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10168 MACKEY ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662123464",
"telephone_number": "206-349-3367",
"fax_number": "206-649-7013"
}
],
"practiceLocations": [
{
"address_1": "1008 Minnequa Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810043733",
"country_code": "US",
"telephone_number": "303-390-1940",
"fax_number": "866-368-6349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "939 Caroline St",
"address_purpose": "LOCATION",
"city": "Port Angeles",
"state": "WA",
"postal_code": "983623909",
"country_code": "US",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 Highland Ave",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "WA",
"postal_code": "994032829",
"country_code": "US",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "603 S Chestnut St",
"address_purpose": "LOCATION",
"city": "Ellensburg",
"state": "WA",
"postal_code": "989263875",
"country_code": "US",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 S Apple Blossom Dr",
"address_purpose": "LOCATION",
"city": "Chelan",
"state": "WA",
"postal_code": "988168810",
"country_code": "US",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 8th Ave NE",
"address_purpose": "LOCATION",
"city": "Hazen",
"state": "ND",
"postal_code": "585454637",
"country_code": "US",
"telephone_number": "701-748-2225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1311 N Mildred Rd",
"address_purpose": "LOCATION",
"city": "Cortez",
"state": "CO",
"postal_code": "813212231",
"country_code": "US",
"telephone_number": "303-390-1940",
"fax_number": "866-368-6349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1650 4th St SE",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559044717",
"country_code": "US",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Sunrise Dr",
"address_purpose": "LOCATION",
"city": "Saint Peter",
"state": "MN",
"postal_code": "560825376",
"country_code": "US",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 E 2nd St",
"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",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 Central Ave E Ste A",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "IA",
"postal_code": "504411867",
"country_code": "US",
"telephone_number": "303-390-1940",
"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"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G63848",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KS",
"license": "04-38806",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "86360-20",
"primary": false
},
{
"code": "207RC0000X",
"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
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "CDR.0006068",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00039797",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "MD56078",
"primary": false
}
],
"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 Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.