Individual provider Active NPI

Scott Sellers, DO

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1811953235
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-21495 Issued in KS
Practice address
15325 Bond St
Overland Park, KS 66221
Phone
(620) 474-7996
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9F66 MO
Family Medicine Physician 207Q00000X 05-21495 KS Primary

Addresses

Primary practice location

15325 Bond St
Overland Park, KS 66221

Mailing address

15325 Bond St
Overland Park, KS 66221-7888
Phone (620) 474-7996

Other practice location 1

15325 Bond St
Overland Park, KS 66221
Phone (620) 474-7996

Other identifiers 3

IdentifierTypeStateIssuer
618360OtherKSFIRST GUARD
045738OtherKSBLUE CROSS BLUE SHIELD
100230130BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-21495KSMDFamily Medicine Physician
R9F66MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carespot Professional Services LLC CurrentSince Aug 4, 2015 Accepting new patients
Missouri Em-I Medical Services, P.C. Past Accepting new patients

Locations

3500 W 95th St
Leawood, KS 66206
Phone (913) 305-3167

7935 W 151st St
Overland Park, KS 66223
Phone (913) 814-3788

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

13551 Madison Ave
Kansas City, MO 64145
Phone (816) 256-3095

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1811953235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15325 BOND ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662217888",
            "telephone_number": "620-474-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15325 BOND ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66221",
            "telephone_number": "620-474-7996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15325 Bond St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "66221",
            "country_code": "US",
            "telephone_number": "620-474-7996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9F66",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-21495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "618360",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "045738",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100230130B",
            "state": "KS"
        }
    ],
    "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 May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.