Individual provider Active NPI

Thomas M Dagg, MD

  • Family Medicine Physician
  • Olathe, KS
National Provider Identifier
1861985103
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
94-09578 Issued in KS
Practice address
18695 W 151St St
Olathe, KS 66062-2738
Phone
(913) 588-1227
NPI assigned
Jun 12, 2018
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 04-43925 KS
Family Medicine Physician 207Q00000X 94-09578 KS Primary

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

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
I20220810001311 KS Practitioner - Family PracticePractitioner - Sports Medicine 8426307133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
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 LLCGroup PAC ID 5597016378, 64 clinicians
Jayhawk Primary Care IncGroup PAC ID 8123928900, 157 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-09578KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Primary Care Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Ukhs Great Bend, LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Ukhs Great Bend, LLC Past Accepting new patients
Jayhawk Primary Care Inc Family Medicine Past Accepting new patients

Locations

1514 K 96 Hwy
Great Bend, KS 67530
Phone (620) 792-4383

1514 State Road 96
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

18695 W 151st St
Olathe, KS 66062
Phone (913) 355-3322

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

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

Interoperability endpoints

  • Direct secure messaging: tdagg663616@direct.kuha.org

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1861985103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-792-2511",
            "fax_number": "620-860-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18695 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622738",
            "telephone_number": "913-588-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 K 96 Hwy",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675303012",
            "country_code": "US",
            "telephone_number": "620-792-4383",
            "fax_number": "620-792-2058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675303633",
            "country_code": "US",
            "telephone_number": "620-792-2511",
            "fax_number": "620-860-0619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGG",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "04-43925",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-09578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.