NPIMap

Individual provider Active NPI

Kelly L Rhodes-Stark, MD

  • Radiation Oncology Physician
  • Olathe, KS
National Provider Identifier
1871556423
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
04-24606 Issued in KS
Practice address
20375 W 151St St
Suite 180
Olathe, KS 66061-5306
Phone
(913) 768-7200
Fax
(913) 768-9714
NPI assigned
Apr 6, 2006
Last updated
Jan 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 104876 MO
Radiation Oncology Physician 2085R0001X 04-24606 KS Primary

Addresses

Primary practice location

20375 W 151St St
Suite 180
Olathe, KS 66061-5306

Mailing address

6601 Winchester Ave
Suite 230
Kansas City, MO 64133-4677
Phone (816) 313-2677

Other identifiers 2

IdentifierTypeStateIssuer
208300806MedicaidMO
100192460AMedicaidKS

Other names 1

  • Dr. Kelly L Rhodes-Stark Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050122000023 MO Practitioner - Radiation Oncology 2668421157 Reassigns benefits to 1 organization
I20051026001185 KS Practitioner - Radiation Oncology 2668421157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Louisville School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 588-1227

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Radiation Oncology Current Accepting new patients
Kansas University Physicians Inc CurrentSince Dec 1, 2023 Accepting new patients
Olathe Health Physicians, Inc. Current Accepting new patients
Topeka Physician Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Kansas University Physicians Inc Radiation Oncology CurrentSince Dec 1, 2023 Accepting new patients
Topeka Physician Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Providence Care Inc Past Accepting new patients
Midwest Urology & Radiation Oncology, Inc, PC. Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

15123 S Omc Pkwy
Olathe, KS 66061
Phone (913) 355-8000

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

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Olathe Hospital the University of Kansas Health SystemOlathe, KS, CCN 170049 Hospital Corporate Director Jan 1, 2023
Olathe Health Home HealthcareOlathe, KS, CCN 177193 Home health agency Corporate Director Jan 1, 2023
Hospice the University of Kansas Health SystemOlathe, KS, CCN 171505 Hospice Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 4

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1871556423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 WINCHESTER AVE",
            "address_2": "SUITE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334677",
            "telephone_number": "816-313-2677",
            "fax_number": "816-313-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "address_2": "SUITE 180",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615306",
            "telephone_number": "913-768-7200",
            "fax_number": "913-768-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES-STARK",
        "first_name": "KELLY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "104876",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-24606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208300806",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100192460A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "RHODES-STARK",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.