Individual provider Active NPI

Ellen Marie Yetter, MD

  • Diagnostic Radiology Physician
  • Overland Park, KS
National Provider Identifier
1902873441
Registry record updated Oct 19, 2026
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
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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 04-29534 KS Primary
Diagnostic Radiology Physician 2085R0202X 2001029906 MO

Addresses

Primary practice location

12300 Metcalf Ave
Overland Park, KS 66213-1324

Mailing address

8000 W 110TH St Ste 150
Overland Park, KS 66210-2382
Phone (913) 599-6777

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

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

Practice roles

OrganizationSpecialtyStatusNew 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
South Texas Radiology Group PA Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Medical Plaza Imaging Associates, LLC Diagnostic Radiology Past Accepting new patients
Radiology Associates of Kansas City, LLC Past Accepting new patients
Vein Doctor 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

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

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

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

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

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

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

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

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

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1792368000000",
    "number": "1902873441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 W 110TH ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102382",
            "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": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-29534",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2001029906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.