Individual provider Active NPI

Spencer W Kerley, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Overland Park, KS
National Provider Identifier
1891713038
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
04-23561 Issued in KS
Practice address
7800 West 110TH Street
Overland Park, KS 66210-2306
Phone
(913) 338-4070
Fax
(913) 338-4245
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X R2P49 MO
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X C3864 KY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01093137A IN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 04-23561 KS Primary

Addresses

Primary practice location

7800 West 110TH Street
Overland Park, KS 66210-2306

Mailing address

PO Box 7210
Shawnee Mission, KS 66207-0210
Phone (913) 338-4070

Other practice location 1

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2856

Other practice location 2

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IN, KY, TN, MS, VA, TX7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20060206000920 KS Practitioner - Pathology 5294647442 Reassigns benefits to 1 organization
I20250828004523 IN Practitioner - Pathology 5294647442 Reassigns benefits to 1 organization
I20250903003373 KY Practitioner - Pathology 5294647442 Reassigns benefits to 1 organization
I20251016000042 TN Practitioner - Pathology 5294647442 Reassigns benefits to 1 organization
I20251209001841 MS Practitioner - Pathology 5294647442 Reassigns benefits to 1 organization
I20260302003128 VA Practitioner - Pathology 5294647442 Reassigns benefits to 1 organization
I20260416003997 TX Practitioner - Pathology 5294647442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Kansas School of Med (KC/Wich/Sal), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1000

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (417) 502-3840

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (615) 221-4400

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4160
Phone (615) 221-4447

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-23561KSMDAnatomic Pathology & Clinical Pathology Physician
C3864KYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 22, 2025 Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

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 6

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1891713038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7210",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662070210",
            "telephone_number": "913-338-4070",
            "fax_number": "913-338-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 WEST 110TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102306",
            "telephone_number": "913-338-4070",
            "fax_number": "913-338-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-2856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Park St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011760",
            "country_code": "US",
            "telephone_number": "270-745-1264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERLEY",
        "first_name": "SPENCER",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "R2P49",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "C3864",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01093137A",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "04-23561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.