Individual provider Active NPI

Martin Joseph Schermoly, MD

  • Internal Medicine Physician
  • Olathe, KS
National Provider Identifier
1861445009
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0421061 Issued in KS
Practice address
20805 W 151St St
Ste # 224
Olathe, KS 66061-7249
Phone
(913) 782-8300
Fax
(913) 782-1574
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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 0421061 KS Primary

Addresses

Primary practice location

20805 W 151St St
Ste # 224
Olathe, KS 66061-7249

Mailing address

20805 W 151St St
Ste # 224
Olathe, KS 66061-7249
Phone (913) 782-8300

Other identifiers 1

IdentifierTypeStateIssuer
100208130CMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000464 KS Practitioner - Internal Medicine 8426096165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0421061KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Health Physicians, Inc. CurrentSince Jul 1, 2005 Accepting new patients
Olathe Health Physicians, Inc. Internal Medicine CurrentSince Jul 1, 2005 Accepting new patients

Locations

20805 W 151st St
Ste 224
Olathe, KS 66061
Phone (913) 355-8400

20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

20375 W 151st St
Ste 301
Olathe, KS 66061
Phone (913) 390-8050

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

Organizations & group practices 3

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.

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1861445009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20805 W 151ST ST",
            "address_2": "STE # 224",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617249",
            "telephone_number": "913-782-8300",
            "fax_number": "913-782-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20805 W 151ST ST",
            "address_2": "STE # 224",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617249",
            "telephone_number": "913-782-8300",
            "fax_number": "913-782-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERMOLY",
        "first_name": "MARTIN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0421061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100208130C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.