WANDA KANIEWSKI (M.D.) – Surgery Physician, NPI 1376764043

WANDA KANIEWSKI (M.D.) is a healthcare provider. based in Lenexa, Kansas. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 30487 (KS). The NPI Number for WANDA KANIEWSKI (M.D.) is 1376764043

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
WANDA KANIEWSKI (M.D.)
NPI
1376764043
Phone
(913) 322-7401
Address
11217 LAKEVIEW AVENUE
Enumeration Date
1 May 2007
Last Update Date
7 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
6901807346
Professional Enrollment ID
I20090911000531
Address ID
KS662191399LE11217AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

300 GENERAL SURGERY in KS

Provider Addresses for WANDA KANIEWSKI (M.D.)

  • 11217 LAKEVIEW AVENUE

    SUITE A

    LENEXA, KS 66219

    Phone: (913) 322-7401

    Fax: (913) 322-7410

    Type: Mailing

  • 10951 LAKEVIEW AVE STE A

    LENEXA, KS 662191331

    Phone: (913) 322-7401

    Fax: (913) 322-7410

    Type: Mailing

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: 2009-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090911000531IGeneral SurgeryKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 66219)

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Reviews

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Frequently asked questions

What is the registry number for WANDA KANIEWSKI (M.D.)?
The registry entry for WANDA KANIEWSKI (M.D.) shows NPI 1376764043.
Is WANDA KANIEWSKI (M.D.)'s NPI status active today?
Active status means WANDA KANIEWSKI (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret WANDA KANIEWSKI (M.D.)'s specialty?
The extract shows Surgery Physician for WANDA KANIEWSKI (M.D.). Clinical services aligned with this taxonomy classification.
Is WANDA KANIEWSKI (M.D.) tied to Lenexa, Kansas?
If you are local to Lenexa, Kansas, WANDA KANIEWSKI (M.D.) may be relevant to your search.
Can I export WANDA KANIEWSKI (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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