Active NPI
James G Fitzsimmons, M.D.
- Diagnostic Radiology Physician
- Overland Park, KS
National Provider Identifier
1891762589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 04-14430
- Practice address
- 12300 Metcalf Ave
Overland Park, KS 66213-1324 - Phone
- (913) 317-7000
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R4952 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 04-14430 | KS | Primary |
Addresses
Primary practice location
12300 Metcalf Ave
Overland Park, KS 66213-1324
Mailing address
9212 Nieman Rd
Overland Park, KS 66214-1868
Phone (913) 599-6777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100154520B | Medicaid | KS | |
| 203314828 | Medicaid | MO | |
| 04775119 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-14430 | KS | MD | Diagnostic Radiology Physician |
| R4952 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Radiology, PA | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Kansas City, LLC | Past | Accepting new patients | |
| Medical Plaza Imaging Associates, LLC | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Shawnee Mission, KS
- NPI 1467400663
-
- Vascular & Interventional Radiology Physician
- Leawood, KS
- NPI 1437308889
-
- Diagnostic Radiology Physician
- Kansas City, MO
- NPI 1356418156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1891762589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9212 NIEMAN RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662141868",
"telephone_number": "913-599-6777",
"fax_number": "913-599-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131324",
"telephone_number": "913-317-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZSIMMONS",
"first_name": "JAMES",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R4952",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-14430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100154520B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203314828",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04775119",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.