Individual provider Active NPI

Kimberly Todd, PA-C

  • Medical Physician Assistant
  • Tonganoxie, KS
National Provider Identifier
1982017182
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-01697 Issued in KS
Practice address
410 Woodfield Dr
Tonganoxie, KS 66086-5443
Phone
(785) 505-5400
Fax
(785) 505-5272
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLC 223 clinicians

Practice addresses (Care Compare)

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-2800

410 Woodfield Dr
Tonganoxie, KS 66086-5443
Phone (785) 505-5400

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

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: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20140815000698 KS Practitioner - Physician Assistant 3971720988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1501697KSMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Jan 1, 2018 Accepting new patients
Lawrence Physicians LLC CurrentSince Jan 1, 2018 Accepting new patients
The Internal Medicine Group PA Past Accepting new patients
Prime Healthcare Physician Services - Providence Inc Past Accepting new patients
Lawrence Physicians LLC Past Accepting new patients

Locations

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

1112 W 6th St
Ste 124
Lawrence, KS 66044
Phone (785) 838-7846

410 Woodfield Dr
Tonganoxie, KS 66086
Phone (785) 505-5400

Interoperability endpoints

  • Direct secure messaging: kimberly.todd@direct.lmh.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1501697 KS
Medical Physician Assistant 363AM0700X 15-01697 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

410 Woodfield Dr
Tonganoxie, KS 66086-5443

Mailing address

325 Maine Street
Mso Library
Lawrence, KS 66044
Phone (785) 505-2988

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address kimberly.todd@direct.lmh.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2023.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1982017182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE STREET",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-505-2988",
            "fax_number": "785-505-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 WOODFIELD DR",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660865443",
            "telephone_number": "785-505-5400",
            "fax_number": "785-505-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "KIMBERLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "1501697",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.todd@direct.lmh.org",
            "affiliation": "N",
            "address_1": "410 Woodfield Dr",
            "city": "Tonganoxie",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660865443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tonganoxie, KS

Sources for this page

Verify at the official NPI Registry.