Active NPI
Royce Eldwin Dunn, DO
- Internal Medicine Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0528920
- Practice address
- 13800 Metcalf Ave
Overland Park, KS 66223-1200 - Phone
- (913) 945-2080
- Fax
- (913) 945-2095
- NPI assigned
- May 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0528920 | KS | Primary |
Addresses
Primary practice location
13800 Metcalf Ave
Overland Park, KS 66223-1200
Mailing address
5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (410) 402-2379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104406130C | Medicaid | KS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100324000331 | KS | Practitioner - Internal Medicine | 7911933718 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shawnee Mission Medical Center Inc
Practice addresses (Care Compare)
9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100
Hospital & facility affiliations
- Elara Caring
- LMH
- Adventhealth Shawnee Mission
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0528920 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olathe Health Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Shawnee Mission Medical Center Inc | Internal Medicine | Current | Accepting new patients |
| Olathe Health Physicians, Inc. | Current | Accepting new patients | |
| Statland Clinic LTD | Internal Medicine | Past | Accepting new patients |
Locations
4921 W 18th St
Lawrence, KS 66047
Phone (785) 830-0100
7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938
20375 W 151st St
Ste 301
Olathe, KS 66061
Phone (913) 390-8050
23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788
20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900
9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
Internal Medicine, KS
-
- Family Medicine Physician
- Olathe, KS
- NPI 1598784639
Internal Medicine, KS
-
- Family Medicine Physician
- Gardner, KS
- NPI 1558879320
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Topeka, KS
- NPI 1851335129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1841243086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 EXECUTIVE DR STE 230",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281762",
"telephone_number": "410-402-2379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662231200",
"telephone_number": "913-945-2080",
"fax_number": "913-945-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "ROYCE",
"middle_name": "ELDWIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "0528920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104406130C",
"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 Aug 8, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.