Individual provider Active NPI

Alan Z Kessler, D.O.

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1912931759
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0524227 Issued in KS
Practice address
6740 W 121St St
Ste 300
Overland Park, KS 66209
Phone
(913) 257-5401
Fax
(913) 257-5542
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 111377 MO
Family Medicine Physician 207Q00000X 0524227 KS Primary

Addresses

Primary practice location

6740 W 121St St
Ste 300
Overland Park, KS 66209

Mailing address

6740 W 121St St
Ste 300
Overland Park, KS 66209-2017
Phone (913) 257-5401

Other practice location 1

12330 Metcalf Ave
Suite 400
Overland Park, KS 66213-1324
Phone (913) 317-7990

Other identifiers 1

IdentifierTypeStateIssuer
100641740AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111377MOMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1912931759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 W 121ST ST",
            "address_2": "STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092017",
            "telephone_number": "913-257-5401",
            "fax_number": "913-257-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 W 121ST ST",
            "address_2": "STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-257-5401",
            "fax_number": "913-257-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12330 Metcalf Ave",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662131324",
            "country_code": "US",
            "telephone_number": "913-317-7990",
            "fax_number": "913-317-7018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "ALAN",
        "middle_name": "Z",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "111377",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0524227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100641740A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.