Active NPI
Scott Sellers, DO
- Family Medicine Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-21495
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 618360 | Other | KS | FIRST GUARD |
| 045738 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100230130B | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05-21495 | KS | MD | Family Medicine Physician |
| R9F66 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carespot Professional Services LLC | Current | 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.
-
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1568703783
-
- Emergency Medicine Physician
- Independence, MO
- NPI 1245518604
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.