Individual provider Active NPI

Ellen M Yetter, MD

  • Diagnostic Radiology Physician
  • Overland Park, KS
National Provider Identifier
1902873441
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
04-29534 Issued in KS
Practice address
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone
(913) 317-7000
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2001029906 MO
Diagnostic Radiology Physician 2085R0202X 04-29534 KS Primary

Addresses

Primary practice location

12300 Metcalf Ave
Overland Park, KS 66213-1324

Mailing address

8000 W 110TH St
Ste 150
Overland Park, KS 66210-2338
Phone (913) 599-6777

Other identifiers 4

IdentifierTypeStateIssuer
205734726MedicaidMO
100410110DMedicaidKS
1902873441OtherBCBS KC
100410110BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20051031000520 KS Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9133197312 Reassigns benefits to 5 organizations
I20131127001671 MO Practitioner - Diagnostic Radiology 9133197312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians
Advanced Radiology Consultants of Kansas City PAGroup PAC ID 0042645947, 28 clinicians
Diagnostic Imaging Centers PAGroup PAC ID 7416926613, shared by 2 NPIs, 28 clinicians
South Texas Radiology Group PAGroup PAC ID 2567365083, 84 clinicians

Practice addresses (Care Compare)

10600 Mastin St
Overland Park, KS 66212-5723
Phone (913) 469-5579

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 393-9729

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (913) 393-9729

2799 N Washington St
Chillicothe, MO 64601-2902
Phone (913) 393-9729

4801 Main St
Suite 200
Kansas City, MO 64112-2582
Phone (816) 444-9989

4901 W 136TH St
Leawood, KS 66224-5926
Phone (210) 616-7700

5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (913) 393-9729

600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone (913) 393-9729

6650 W 110TH St
Suite 100
Overland Park, KS 66211-1501
Phone (913) 344-9989

Hospital & facility affiliations

  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154
  • Medina Regional Hospital Hospital, Hondo, TX, CCN 451330

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
81.9
Improvement activities
40
Cost
98.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29534KSMDDiagnostic Radiology Physician
2001029906MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Radiology Group PA Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Diagnostic Imaging Centers, P.a. CurrentSince Aug 1, 2025 Accepting new patients
Advanced Radiology Consultants of Kansas City, PA Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
Diagnostic Imaging Centers, P.a. CurrentSince Aug 1, 2025 Accepting new patients
Texas Imaging Partners, LLC CurrentSince Mar 1, 2026 Accepting new patients
Overland Park Surgical Specialties LLC CurrentSince Mar 28, 2017 Accepting new patients
Medical Plaza Imaging Associates, LLC Diagnostic Radiology Past Accepting new patients
Vein Doctor LLC Past Accepting new patients
Radiology Associates of Kansas City, LLC Past Accepting new patients

Locations

9201 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 334-4110

13795 S Mur Len Rd
Ste 100
Olathe, KS 66062
Phone (913) 344-9989

6650 W 110th St
Ste 100
Overland Park, KS 66211
Phone (913) 344-9989

10600 Mastin St
Overland Park, KS 66212
Phone (913) 438-0868

4901 W 136th St
Overland Park, KS 66224
Phone (913) 890-7280

7246 W 75th St
Overland Park, KS 66204
Phone (913) 222-8370

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

4911 S Arrowhead Dr
Ste 100
Independence, MO 64055
Phone (816) 444-9989

4801 Main St
Ste 200
Kansas City, MO 64112
Phone (816) 444-9989

5844 NW Barry Rd
Ste 120
Kansas City, MO 64154
Phone (816) 472-9595

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441

3937 Sherman Ave
Saint Joseph, MO 64506
Phone (816) 444-9989

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1902873441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 W 110TH ST",
            "address_2": "STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102338",
            "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": "YETTER",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2001029906",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-29534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205734726",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100410110D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "1902873441",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100410110B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.