Individual provider Active NPI

Theodore J Felts, MD

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1861436347
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-26778 Issued in KS
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100301780GMedicaidKS
22488110OtherMOBLUE SHIELD KC, MO
100301780MMedicaidKS
1861436347MedicaidMO
P00338240OtherRAILROAD MEDICARE
100301780KMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051101000811 KS Practitioner - Family Practice 1557350410 Reassigns benefits to 3 organizations
I20080523000081 MO Practitioner - Family Practice 1557350410 Reassigns benefits to 3 organizations

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
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians
Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians

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

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince Apr 3, 2026 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Dec 8, 2025 Accepting new patients
Complexcare Medical Group Kansas M LLC CurrentSince Jan 10, 2026 Accepting new patients
Theoria Medical CurrentSince Aug 25, 2025 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 PastSince Apr 23, 2023 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.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.