Individual provider Active NPI

Joshua E Ezell, D.O.

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1851632806
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.011989 Issued in OH
Practice address
5701 W 119TH St Ste 240
Overland Park, KS 66209-3749
Phone
(913) 491-6633
NPI assigned
Mar 14, 2013
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.011989 OH Primary

Addresses

Primary practice location

5701 W 119TH St Ste 240
Overland Park, KS 66209-3749

Mailing address

5701 W 119TH St Ste 240
Overland Park, KS 66209-3749
Phone (913) 491-6633

Other identifiers 1

IdentifierTypeStateIssuer
0126683MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.011989OHMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: josh.ezell@hca2.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1851632806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 240",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093749",
            "telephone_number": "913-491-6633",
            "fax_number": "913-491-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 240",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093749",
            "telephone_number": "913-491-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZELL",
        "first_name": "JOSHUA",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-14",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.011989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126683",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.