JOHN ROBERT ALLEY (MD) – Surgery Physician, NPI 1790805513

JOHN ROBERT ALLEY (MD) is a healthcare provider. based in Kansas city, Kansas. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 94-05701 (KS). The NPI Number for JOHN ROBERT ALLEY (MD) is 1790805513

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
JOHN ROBERT ALLEY (MD)
NPI
1790805513
Phone
(913) 588-6124
Address
3901 RAINBOW BLVD
Enumeration Date
29 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9135881227
Graduation Year
2002 (24 years ago)
PAC ID
5991899379
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20070915000226
Address ID
KS661608501KA4000XSTXX320
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

300 GENERAL SURGERY in KS

Provider Addresses for JOHN ROBERT ALLEY (MD)

  • 3901 RAINBOW BLVD

    MS 1037

    KANSAS CITY, KS 661600001

    Phone: (913) 588-6124

    Fax: (913) 588-7540

    Type: Location

  • 7818 BOOTH ST

    PRAIRIE VILLAGE, KS 662083852

    Phone: (913) 341-3694

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-04-07 • Largest payer in this snapshot: Davol Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$16
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: 2007-09-15

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
I20070915000226IGeneral 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes6262$0
99212Established patient office or other outpatient visit, 10-19 minutes3328$0
36590Removal of central venous tube with port or pump1818$0
49591Initial repair of sliding hernia of abdomen, less than 3 cm in length1313$0
36561Insertion of central venous tube with port (5 years or older)1212$0
View full utilization report →

Insurance plans in this area (ZIP 66160)

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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: 8921911587View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JOHN ROBERT ALLEY (MD)?
NPI 1790805513 is assigned to JOHN ROBERT ALLEY (MD) under the national enumeration system.
Does this profile mean JOHN ROBERT ALLEY (MD) is currently active?
Yes — JOHN ROBERT ALLEY (MD) appears active in the national provider directory.
What kind of provider is JOHN ROBERT ALLEY (MD)?
The page reflects Surgery Physician for JOHN ROBERT ALLEY (MD). Clinical services aligned with this taxonomy classification.
What location shows for JOHN ROBERT ALLEY (MD)?
We surface Kansas City, Kansas for JOHN ROBERT ALLEY (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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