Thomas M Dagg, MD
Individual provider Active NPI Family Medicine Physician · Olathe, KS
NPI 1861985103 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1861985103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 94-09578 (KS)
- Practice address
- 18695 W 151St St
Olathe, KS 66062-2738 - Phone
- (913) 588-1227
- NPI assigned
- Jun 12, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ukhs Great Bend LLC
Jayhawk Primary Care Inc
Practice addresses (Care Compare)
1514 K 96 Hwy
Great Bend, KS 67530-3012
Phone (620) 792-4383
18695 W 151St St
Olathe, KS 66062-2738
Phone (913) 588-1227
3515 Broadway Ave
Great Bend, KS 67530-3633
Phone (620) 786-6515
514 Cleveland St
Great Bend, KS 67530-3562
Phone (620) 792-8833
Hospital & facility affiliations
- University of Kansas Hospital
- University of KS HLTH System Great Bend Campus
- University of Kansas Health System Olathe Hospital
- Ellinwood District Hospital
- Clara Barton Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220810001311 | KS | Practitioner - Family Practice |
8426307133 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-09578 | KS | MD | Family Medicine Physician |
| 04-43925 | KS | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ukhs Great Bend, LLC | Family Medicine | Current |
Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Current |
Accepting new patients |
| Ukhs Great Bend, LLC | Past | Accepting new patients | |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
Locations
1514 State Road 96
Great Bend, KS 67530
Phone (620) 792-4383
1514 K 96 Hwy
Great Bend, KS 67530
Phone (620) 792-4383
3515 Broadway Ave
Great Bend, KS 67530
Phone (620) 786-6163
514 Cleveland St
Great Bend, KS 67530
Phone (620) 659-2890
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393
18695 W 151st St
Olathe, KS 66062
Phone (913) 355-3322
7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200
Interoperability endpoints
- tdagg663616@direct.kuha.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 04-43925 | KS | |
| Family Medicine Physician | 207Q00000X | 94-09578 | KS | Yes |
Addresses
Primary practice location
18695 W 151St St
Olathe, KS 66062-2738
Mailing address
3515 Broadway Ave
Great Bend, KS 67530-3633
Phone (620) 792-2511
Other practice location 1
1514 K 96 Hwy
Great Bend, KS 67530-3012
Phone (620) 792-4383
Other practice location 2
3515 Broadway Ave
Great Bend, KS 67530-3633
Phone (620) 792-2511
Other providers in Olathe, KS
- Mitchelene Joellen Cunningham
- Betty Lou Currie
- Christen Deanne Curry
- Antonio Lamont Cuthbertson
- Beth D'Anna
- Allison Daggett
- Lynnette Marie Dahl
- Jeff Dailey
- Katherine P. Dalager
- Bruce Daldrup
All providers in Olathe, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.