Individual provider Active NPI

Stuart Mark Gaynes, MD

  • Emergency Medicine Physician
  • Olathe, KS
National Provider Identifier
1982712543
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-26382 Issued in KS
Practice address
20333 W 151St St
Olathe, KS 66061-5350
Phone
(913) 791-4357
Fax
(913) 791-4435
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 52009 SC
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 0426382 KS
Emergency Medicine Physician 207P00000X 04-26382 KS Primary

Addresses

Primary practice location

20333 W 151St St
Olathe, KS 66061-5350

Mailing address

PO Box 716
Overland Park, KS 66201-0716
Phone (913) 642-4900

Other identifiers 7

IdentifierTypeStateIssuer
100289450CMedicaidKS
1982712543MedicaidMO
930110421OtherKSRR MEDICARE
23896031OtherKSBCBSKC
5165400OtherKSAETNA
P00812184OtherKSRR MEDICARE-WHA
100289450BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20200427001034 SC Practitioner - Emergency Medicine 4789628058 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-26382KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Hilton Head Emergency Physicians, Inc. Emergency Medicine CurrentSince Mar 14, 2020 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Hilton Head Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 14, 2020 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Miami County Medical Center Inc. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

3970 Grandview Dr
Simpsonville, SC 29680
Phone (864) 255-1000

Organizations & group practices 7

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1982712543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662010716",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615350",
            "telephone_number": "913-791-4357",
            "fax_number": "913-791-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYNES",
        "first_name": "STUART",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "52009",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "KS",
            "license": "0426382",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-26382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100289450C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982712543",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930110421",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "23896031",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5165400",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-WHA",
            "identifier": "P00812184",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100289450B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.