Individual provider Active NPI

Andrew Lauronilla, MD

  • Psychiatry Physician
  • Olathe, KS
National Provider Identifier
1942242672
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-27867 Issued in KS
Practice address
1125 W Spruce St
Olathe, KS 66061-3123
Phone
(913) 826-4200
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-27867 KS Primary

Addresses

Primary practice location

1125 W Spruce St
Olathe, KS 66061-3123

Mailing address

6000 Lamar Ave Ste 130
Mission, KS 66202-3234
Phone (913) 826-4200

Other practice location 1

1969 W 21st St N
Wichita, KS 67203-2106
Phone (316) 660-7750

Other identifiers 3

IdentifierTypeStateIssuer
2068914OtherKSCIGNA
9602OtherKSPREFERRED HEALTH SYSTEMS
104024OtherKSBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040909001342 KS Practitioner - Psychiatry 7416923479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1125 W Spruce St
Olathe, KS 66061-3123
Phone (913) 826-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-27867KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick CurrentSince Aug 25, 2004 Accepting new patients
County of Sedgwick Current Accepting new patients
Johnson County Mental Health Center CurrentSince Apr 25, 2022 Accepting new patients
Compass Behavioral Health PastSince Dec 22, 2019 Accepting new patients
County of Sedgwick PastSince Mar 6, 2022 Accepting new patients
Johnson County Mental Health Center Past Accepting new patients

Locations

6000 Lamar Ave
#130
Mission, KS 66202
Phone (913) 826-4200

920 W Spruce St
Olathe, KS 66061
Phone (913) 826-4200

1125 W Spruce St
Olathe, KS 66061
Phone (913) 782-2100

11120 W 65th St
Shawnee, KS 66203
Phone (913) 826-4100

6440 Nieman Rd
Shawnee, KS 66203
Phone (913) 826-4200

1720 E Morris St
Wichita, KS 67211
Phone (316) 660-1900

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

934 N Water St
Wichita, KS 67203
Phone (316) 660-7500

1929 W 21st St N
Wichita, KS 67203
Phone (316) 660-7700

1919 N Amidon Ave
Ste 100
Wichita, KS 67203
Phone (316) 660-7540

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1942242672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LAMAR AVE STE 130",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023234",
            "telephone_number": "913-826-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W SPRUCE ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613123",
            "telephone_number": "913-826-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1969 W 21st St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672032106",
            "country_code": "US",
            "telephone_number": "316-660-7750",
            "fax_number": "316-660-7851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURONILLA",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-27867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2068914",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "9602",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "104024",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.