Active NPI
Tell B. Copening, M.D.
- Family Medicine Physician
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-14418
- Practice address
- 16575 W 119TH St
Olathe, KS 66061-7770 - Phone
- (913) 815-5508
- Fax
- (855) 446-7281
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 109097 | MO | |
| Family Medicine Physician | 207Q00000X | 04-14418 | KS | Primary |
Addresses
Primary practice location
16575 W 119TH St
Olathe, KS 66061-7770
Mailing address
6416 Old Winter Garden Rd
Orlando, FL 32835-1348
Phone (407) 751-7288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-14418 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mission Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Shawnee Mission Medical Center, Inc. | Family Medicine | Past | Accepting new patients |
| Central Kansas Medical Center | Family Medicine | Past | Accepting new patients |
| Skaggs Community Hospital Association | Past | Accepting new patients |
Locations
7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938
11367 W 95th St
Shawnee Mission, KS 66214
Phone (913) 888-1151
9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
-
dba St Joseph Family Medicine/Great Bend
- Family Medicine Physician
- Great Bend, KS
- NPI 1467402040
-
dba AdventHealth Centra Care
- Urgent Care Clinic/Center
- Shawnee, KS
- NPI 1942317854
Family Medicine
-
dba CoxHealth Emergency Services
- Emergency Medicine Physician
- Branson, MO
- NPI 1073686879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1801912605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6416 OLD WINTER GARDEN RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328351348",
"telephone_number": "407-751-7288",
"fax_number": "407-770-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16575 W 119TH ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660617770",
"telephone_number": "913-815-5508",
"fax_number": "855-446-7281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPENING",
"first_name": "TELL",
"middle_name": "B.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "109097",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-14418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.