Organization Active NPI

Internal Medicine Specialists, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Overland Park, KS
National Provider Identifier
1942319447
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
INTERNAL MEDICINE SPECIALISTS, INC
Practice address
10540 Barkley St
Suite 205
Overland Park, KS 66212-1811
Phone
(913) 385-0176
Fax
(913) 385-0782
NPI assigned
Aug 29, 2006
Last updated
Oct 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Ms. Pam Meeker
Title
Office Manager
Phone
(913) 385-0176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

10540 Barkley St
Suite 205
Overland Park, KS 66212-1811

Mailing address

10540 Barkley St
Suite 205
Overland Park, KS 66212-1811
Phone (913) 385-0176

Other identifiers 6

IdentifierTypeStateIssuer
08508051OtherMOBLUE CROSS BLUE SHIELD KC
74960OtherKSBLUE CROSS BLUE SHIELD KS
100292510BMedicaidKS
4771317OtherAETNA
135645OtherCOVENTRY
508639606MedicaidMO

National Provider Directory

National Provider Directory

Locations

10540 Barkley St
Ste 205
Overland Park, KS 66212
Phone (913) 385-0176

10709 Barkley St
Ste B
Overland Park, KS 66211
Phone (913) 385-0176

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1942319447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 BARKLEY ST",
            "address_2": "SUITE 205",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121811",
            "telephone_number": "913-385-0176",
            "fax_number": "913-385-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 BARKLEY ST",
            "address_2": "SUITE 205",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121811",
            "telephone_number": "913-385-0176",
            "fax_number": "913-385-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "MEEKER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-385-0176",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KC",
            "identifier": "08508051",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KS",
            "identifier": "74960",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100292510B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4771317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "135645",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508639606",
            "state": "MO"
        }
    ],
    "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 Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.