MITCHELL CHALLIS – Otolaryngology Physician, NPI 1679716732

MITCHELL CHALLIS is a healthcare provider. based in Overland park, Kansas. specializing in OTOLARYNGOLOGY. They hold a License No. 04-37153 (KS). The NPI Number for MITCHELL CHALLIS is 1679716732

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MITCHELL CHALLIS
NPI
1679716732
Phone
(913) 599-4800
Address
5370 COLLEGE BLVD
Enumeration Date
19 April 2009
Last Update Date
2 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9135994800
Graduation Year
2009 (17 years ago)
PAC ID
4880830678
Group Practice PAC ID
7911032131
Professional Enrollment ID
I20140812002259
Address ID
KS662042201ME8901XSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

106 OTOLARYNGOLOGY in KS

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Provider Addresses for MITCHELL CHALLIS

  • 5370, College Boulevard, Overland Park, Johnson County, Kansas, 66211, United States

    OVERLAND PARK, KS 662111935

    Phone: (913) 599-4800

    Fax: (913) 599-2992

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($45).

Total Amount

$183

General + Research + Ownership

Payments

9

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140812002259IOtolaryngologyKSTBD
I20141017001683IOtolaryngologyMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes258165$0
92504Exam of ear using a microscope216164$0
99203New patient office or other outpatient visit, 30-44 minutes139139$0
92557Comprehensive hearing and speech recognition test9190$0
92567Test to assess middle ear function9188$0
View full utilization report →

Insurance plans in this area (ZIP 66211)

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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: 7911032131View full group profile
NameSpecialtyState
Otolaryngology, Plastic And Reconstructive SurgeryKS
Qualified AudiologistKS
Otolaryngology, Plastic And Reconstructive SurgeryKS
Physician AssistantMO
Qualified AudiologistKS
Qualified AudiologistFL
Qualified AudiologistKS
-IL
Otolaryngology, Plastic And Reconstructive SurgeryKS
Physician AssistantNE

Reviews

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Frequently asked questions

What is the standard ID for MITCHELL CHALLIS in the U.S.?
In the U.S., MITCHELL CHALLIS is identified by NPI 1679716732.
Is MITCHELL CHALLIS's NPI status active today?
Active status means MITCHELL CHALLIS's NPI record is not deactivated in the public file.
How should patients interpret MITCHELL CHALLIS's specialty?
The extract shows Otolaryngology Physician for MITCHELL CHALLIS. Clinical services aligned with this taxonomy classification.
Is MITCHELL CHALLIS tied to Overland Park, Kansas?
If you are local to Overland Park, Kansas, MITCHELL CHALLIS may be relevant to your search.
Why is information missing for MITCHELL CHALLIS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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