Active NPI
Ellen M Yetter, MD
- Diagnostic Radiology Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 04-29534
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205734726 | Medicaid | MO | |
| 100410110D | Medicaid | KS | |
| 1902873441 | Other | BCBS KC | |
| 100410110B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic 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
- Diagnostic Imaging Centers PA
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
- Hill Country Memorial Hospital
- Saint Lukes North Hospital
- Val Verde Regional Medical Center
- Medina Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.62 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 04-29534 | KS | MD | Diagnostic Radiology Physician |
| 2001029906 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Radiology Group PA | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Imaging Centers, P.a. | Current | Accepting new patients | |
| Advanced Radiology Consultants of Kansas City, PA | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Imaging Centers, P.a. | Current | Accepting new patients | |
| Texas Imaging Partners, LLC | Current | Accepting new patients | |
| Overland Park Surgical Specialties LLC | Current | 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.
-
- Diagnostic Radiology Physician
- Overland Park, KS
- NPI 1447800131
MO
-
- Family Medicine Physician
- Overland Park, KS
- NPI 1760798540
-
- Radiology Clinic/Center
- Overland Park, KS
- NPI 1366529661
-
- Radiology Clinic/Center
- Kansas City, MO
- NPI 1497828222
-
- Vascular & Interventional Radiology Physician
- Leawood, KS
- NPI 1437308889
-
- Diagnostic Radiology Physician
- Kansas City, MO
- NPI 1356418156
-
- Vascular & Interventional Radiology Physician
- Liberty, MO
- NPI 1740212299
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
-
- Critical Access Hospital
- Hondo, TX
- NPI 1427048453
-
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1942241799
-
- General Acute Care Hospital
- Del Rio, TX
- NPI 1104830900
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.