Active NPI
Theodore J Felts, MD
- Family Medicine Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-26778
- Practice address
- 16139 Foster St
Overland Park, KS 66085-8417 - Phone
- (913) 413-0016
- Fax
- (913) 413-0017
- NPI assigned
- Jun 15, 2006
- Last updated
- Apr 19, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-26778 | KS | Primary |
Addresses
Primary practice location
16139 Foster St
Overland Park, KS 66085-8417
Mailing address
7111 W 151St St
#41
Overland Park, KS 66223-2231
Phone (913) 413-0016
Other practice location 1
23401 Prairie Star Pkwy
Suite 120
Lenexa, KS 66227-7268
Phone (913) 676-8600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100301780G | Medicaid | KS | |
| 22488110 | Other | MO | BLUE SHIELD KC, MO |
| 100301780M | Medicaid | KS | |
| 1861436347 | Medicaid | MO | |
| P00338240 | Other | RAILROAD MEDICARE | |
| 100301780K | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Larimer St
Pratt, KS 67124-1241
Phone (620) 672-6541
17700 E 39TH St S
Independence, MO 64055-6725
Phone (816) 393-0250
3001 May St
Poplar Bluff, MO 63901-1942
Phone (248) 660-1220
9507 Antioch Rd
Overland Park, KS 66212-4059
Phone (913) 227-4631
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Carenow Urgent Care LLC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Complexcare Medical Group Kansas M LLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Ab Jetmore MD LLC | Past | Accepting new patients | |
| Theoria Medical | Family Medicine | Past | Accepting new patients |
| Carnegie Village Rehabilitation & Health Care Center LLC | Past | Accepting new patients | |
| Stratford Commons Rehabilitation & Health Care Center, L.L.C | Past | Accepting new patients | |
| Radiance Family Care LLC | Past | Accepting new patients | |
| Overland Park Medical Specialists, LLC | Past | Accepting new patients | |
| Urgent Care Express LLC | Past | Accepting new patients | |
| Shawnee Mission Medical Center | Past | Accepting new patients | |
| Menorah Urgent Care, LLC | Past | Accepting new patients | |
| Shawnee Mission Medical Center, Inc. | Family Medicine | Past | Accepting new patients |
| Town Plaza Family Practice LLC | Family Medicine | Past | Accepting new patients |
| Shawnee Mission Medical Center Inc | Family Medicine | Past | Accepting new patients |
Locations
605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103
7935 W 151st St
Overland Park, KS 66223
Phone (913) 814-3788
9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631
1221 Larimer St
Pratt, KS 67124
Phone (620) 672-6541
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443
1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342
17700 E 39th St S
Independence, MO 64055
Phone (816) 393-0250
3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767
9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190
4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900
3001 May St
Poplar Bluff, MO 63901
Phone (573) 686-6999
9490 E State Route 350
Raytown, MO 64133
Phone (816) 256-4089
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
505 W Evergreen St
Strafford, MO 65757
Phone (417) 736-9332
809 W Benton St
Windsor, MO 65360
Phone (660) 467-3102
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Colon & Rectal Surgery Physician
- Lenexa, KS
- NPI 1114258886
-
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1902100332
-
- Endocrinology, Diabetes & Metabolism Physician
- Overland Park, KS
- NPI 1407040967
-
- Primary Care Clinic/Center
- Louisburg, KS
- NPI 1396344115
-
dba SMMC Emergency Physicians
- Emergency Medical Services (Emergency Medicine) Physician
- Shawnee Mission, KS
- NPI 1598970790
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
-
dba AdventHealth Centra Care
- Urgent Care Clinic/Center
- Shawnee, KS
- NPI 1942317854
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Stratford Commons Rehabilitation & Health Care Center
- Skilled Nursing Facility
- Overland Park, KS
- NPI 1326438540
Nursing home
-
- Skilled Nursing Facility
- Belton, MO
- NPI 1215673603
Nursing home
-
dba Kansas City Hospice and Palliative Care
- Inpatient Hospice
- Kansas City, MO
- NPI 1013093145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1861436347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 W 151ST ST",
"address_2": "#41",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662232231",
"telephone_number": "913-413-0016",
"fax_number": "913-413-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16139 FOSTER ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "660858417",
"telephone_number": "913-413-0016",
"fax_number": "913-413-0017"
}
],
"practiceLocations": [
{
"address_1": "23401 Prairie Star Pkwy",
"address_2": "SUITE 120",
"address_purpose": "LOCATION",
"city": "Lenexa",
"state": "KS",
"postal_code": "662277268",
"country_code": "US",
"telephone_number": "913-676-8600",
"fax_number": "913-676-8601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELTS",
"first_name": "THEODORE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-26778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100301780G",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD KC, MO",
"identifier": "22488110",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100301780M",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861436347",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00338240",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100301780K",
"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 Apr 19, 2023; 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.