Individual provider Active NPI

Kathleen Sue Thill, MD

  • Obstetrics & Gynecology Physician
  • Overland Park, KS
National Provider Identifier
1902301153
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
04-46797 Issued in KS
Practice address
5701 W 119TH St Ste 225
Overland Park, KS 66209-3721
Phone
(816) 416-8771
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 04-46797 KS Primary

Addresses

Primary practice location

5701 W 119TH St Ste 225
Overland Park, KS 66209-3721

Mailing address

5701 W 119TH St Ste 225
Overland Park, KS 66209-3721

Other practice location 1

20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001
Phone (813) 601-4020

Other names 1

  • Kathleen Sue Thill Walnick Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221228000630 MO Practitioner - Obstetrics/Gynecology 2163779653 Reassigns benefits to 2 organizations
I20230107000140 KS Practitioner - Obstetrics/Gynecology 2163779653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Group LLCGroup PAC ID 8123503901, 20 clinicians
Rockhill Women'S Care IncGroup PAC ID 4082628219, 11 clinicians

Practice addresses (Care Compare)

20 NE Saint Lukes Blvd
310 Rockhill Women'S Care
Lees Summit, MO 64086-6001
Phone (816) 282-7809

5701 W 119TH St
225 Menorah
Overland Park, KS 66209-3721
Phone (913) 601-4020

Hospital & facility affiliations

  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockhill Women'S Care, Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

5701 W 119th St
Ste 225
Overland Park, KS 66209
Phone (913) 469-0550

20 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 756-2466

20 NE Saint Lukes Blvd
Ste 310
Lees Summit, MO 64086
Phone (816) 282-7809

Organizations & group practices 2

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 1

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1902301153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 225",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 225",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "816-416-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 NE Saint Lukes Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640866001",
            "country_code": "US",
            "telephone_number": "813-601-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THILL",
        "first_name": "KATHLEEN",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-46797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "THILL WALNICK",
            "middle_name": "SUE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.