NPIMap

Organization Active NPI

Kansas Medical Center, LLC

Doing business as KMC Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Andover, KS
National Provider Identifier
1801007786
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
KANSAS MEDICAL CENTER, LLC
Doing business as
KMC Physicians
Practice address
1124 W. 21St St
Andover, KS 67002
Phone
(316) 300-4000
Fax
(316) 300-4040
NPI assigned
May 24, 2007
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
KANSAS MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Mr. Steven Hadley
Title
Chief Business Executive
Phone
(316) 300-4021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207PE0004X KS Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X KS

Addresses

Primary practice location

1124 W. 21St St
Andover, KS 67002

Mailing address

PO Box 268938
Oklahoma City, OK 73126-8938
Phone (316) 300-4021

Other names 1

  • KMC Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061109000659 KS Part B Supplier - Clinic/Group Practice 2668476862 Receives reassigned benefits from 64 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Andover, KS; Wichita, KS; Neodosha, KS; Meade, KS; Liberal, KS; Kingman, KS; Independence, KS; Fredonia, KS…

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Cypress Heart

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1801007786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268938",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268938",
            "telephone_number": "316-300-4021",
            "fax_number": "316-300-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W. 21ST ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "67002",
            "telephone_number": "316-300-4000",
            "fax_number": "316-300-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KANSAS MEDICAL CENTER, LLC",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF BUSINESS EXECUTIVE",
        "authorized_official_telephone_number": "316-300-4021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KMC Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KMC Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.