Active NPI
Laura Guzdziol Reilly, MD
- Neurology Physician
- Overland Park, KS
National Provider Identifier
1821023896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 04-33284
- Practice address
- 10600 Mastin St
Overland Park, KS 66212-5723 - Phone
- (913) 469-6447
- Fax
- (913) 338-1311
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 04-33284 | KS | Primary |
Addresses
Primary practice location
10600 Mastin St
Overland Park, KS 66212-5723
Mailing address
PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503
Other practice location 1
1803 S Ridgeview Rd
Olathe, KS 66062-2376
Phone (913) 829-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03302 | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laura.reilly@cpfc.eclinicaldirectplus.com |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-33284 | KS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Park Family Care Center, P.a. | Past | Accepting new patients | |
| M.W. Kilgore, II, M.D., P.a. | Neurology | Past | Accepting new patients |
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.
-
- Radiology Clinic/Center
- Overland Park, KS
- NPI 1881803229
-
- Neurology Physician
- Jacksonville, FL
- NPI 1821284589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1821023896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741331",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741331",
"telephone_number": "913-469-0503",
"fax_number": "913-469-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 MASTIN ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125723",
"telephone_number": "913-469-6447",
"fax_number": "913-338-1311"
}
],
"practiceLocations": [
{
"address_1": "1803 S Ridgeview Rd",
"address_purpose": "LOCATION",
"city": "Olathe",
"state": "KS",
"postal_code": "660622376",
"country_code": "US",
"telephone_number": "913-829-0505",
"fax_number": "913-829-7257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REILLY",
"first_name": "LAURA",
"middle_name": "GUZDZIOL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "04-33284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "03302",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laura.reilly@cpfc.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1803 S Ridgeview Rd",
"city": "Olathe",
"state": "KS",
"country_code": "US",
"postal_code": "660622376",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.