NPIMap

Individual provider Active NPI

Robert Evangelidis, MD

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1942422936
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-32560 Issued in KS
Practice address
9100 W 74TH St
Overland Park, KS 66204-4004
Phone
(913) 676-2000
NPI assigned
May 2, 2007
Last updated
Nov 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-32560 KS Primary
Internal Medicine Physician 207R00000X 2007014753 MO

Addresses

Primary practice location

9100 W 74TH St
Overland Park, KS 66204-4004

Mailing address

10540 Marty St
Suite 100
Overland Park, KS 66212-2551
Phone (913) 660-1616

Other identifiers 2

IdentifierTypeStateIssuer
38151019OtherMOBLUE SHIELD KANSAS CITY
7610908OtherMOAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070615000595 MO Practitioner - HospitalistPractitioner - Internal Medicine 2769581719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Division - LRHC LLCGroup PAC ID 0941119150, 49 clinicians
Connectcare Hospitalists LLCGroup PAC ID 3173891256, 14 clinicians

Practice addresses (Care Compare)

1026 Main St
Lexington, MO 64067-1345
Phone (660) 259-2216

1500 State St
Lexington, MO 64067-1107
Phone (660) 259-2203

2340 E Meyer Blvd
Suite 646
Kansas City, MO 64132-1110
Phone (816) 394-9044

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-32560KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Division - LRHC LLC CurrentSince Jul 1, 2025 Accepting new patients
Gates Hospitalists LLC Internal Medicine CurrentSince Sep 1, 2012 Accepting new patients
Connectcare Medical Associates Internal Medicine CurrentSince Dec 28, 2025 Accepting new patients
Midwest Division - RBH, LLC Past Accepting new patients
Inpatient Consultants of Kansas PA Internal Medicine Past Accepting new patients
Mochi Medical KS PC Past Accepting new patients
North Kansas City Hospital Past Accepting new patients
Connectcare Hospitalists, LLC. Internal Medicine Past Accepting new patients

Locations

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

17065 S Outer Rd
Belton, MO 64012
Phone (816) 322-2000

2340 E Meyer Blvd
Ste 646
Kansas City, MO 64132
Phone (816) 394-9044

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

2750 Clay Edwards Dr
Ste 200A
North Kansas City, MO 64116
Phone (816) 691-2000

Organizations & group practices 8

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 6

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1942422936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 MARTY ST",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122551",
            "telephone_number": "913-660-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-676-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELIDIS",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-32560",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007014753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD KANSAS CITY",
            "identifier": "38151019",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7610908",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.