ALLIANCE RADIOLOGY, PA – Diagnostic Radiology Physician, NPI 1467400663
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ALLIANCE RADIOLOGY, PA
8005 W 110TH ST STE 214
OVERLAND PARK, KS 662102619
Phone: (913) 599-6777
Fax: (913) 599-3955
Type: Mailing
Shawnee Mission Medical Center, 9100, West 74th Street, Overland Park, Johnson County, Kansas, 66204, United States
SHAWNEE MISSION, KS 662044004
Phone: (913) 599-6777
Fax: (913) 599-3955
Type: Location
West 110th Street, Overland Park, Johnson County, Kansas, 66210, United States
STE 150
OVERLAND PARK, KS 662102338
Phone: (913) 599-6777
Fax: (913) 599-3955
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: 2025-07-15
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (350 days ago).
Enrollment records
4
Earliest due date
2025-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031105000794 | O | Clinic/Group Practice | MO | 2025-06-30 |
| O20050721001061 | O | Clinic/Group Practice | KS | 2025-07-31 |
| O20231211001823 | O | Clinic/Group Practice | HI | TBD |
| O20250715002560 | O | Clinic/Group Practice | OK | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 66210)
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