MITCHELL PAUL MATIS – Student in an Organized Health Care Education/Training Program, NPI 1013667401

MITCHELL PAUL MATIS is a healthcare provider. based in Overland park, Kansas. specializing in INTERNAL MEDICINE. The NPI Number for MITCHELL PAUL MATIS is 1013667401

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MITCHELL PAUL MATIS
NPI
1013667401
Phone
(913) 498-7004
Address
12200 W 106TH ST STE 325
Enumeration Date
28 March 2022
Last Update Date
28 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
8163949044
Graduation Year
2022 (4 years ago)
PAC ID
3072994524
Group Practice PAC ID
3173891256
Professional Enrollment ID
I20260318002477
Address ID
MO641321110KA2340XBLVD406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,289 INTERNAL MEDICINE in KS

Provider Addresses for MITCHELL PAUL MATIS

  • 12200 W 106TH ST STE 325

    OVERLAND PARK, KS 662152305

    Phone: (913) 498-7004

    Type: Mailing

  • 10500 QUIVIRA RD

    LENEXA, KS 662152306

    Phone: (913) 541-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-15

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173891256View full group profile
NameSpecialtyState
Family PracticeMO
Nurse PractitionerMO
Family PracticeMO
Nurse PractitionerMO
Internal Medicine, Hospitalist, Internal MedicineOK
Internal Medicine, HospitalistMO
Physician AssistantMO
Family PracticeMO
Nurse PractitionerMO
Hospitalist, Internal MedicineKS

Reviews

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Frequently asked questions

What is the registry number for MITCHELL PAUL MATIS?
The registry entry for MITCHELL PAUL MATIS shows NPI 1013667401.
Quick check: is MITCHELL PAUL MATIS active?
Public NPPES data shows MITCHELL PAUL MATIS with an active NPI status right now.
What services align with MITCHELL PAUL MATIS's listing?
MITCHELL PAUL MATIS's public classification highlights Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is MITCHELL PAUL MATIS tied to Overland Park, Kansas?
If you are local to Overland Park, Kansas, MITCHELL PAUL MATIS may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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