IRL PATHOLOGY SERVICES MIDAMERICA, LLC – Anatomic Pathology & Clinical Pathology Physician, NPI 1497271480
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for IRL PATHOLOGY SERVICES MIDAMERICA, LLC
10500 Quivira Rd
Overland Park, KS 662152306
Phone: (954) 717-0275
Type: Location
2100 SE Blue Pkwy
Lees Summit, MO 640631007
Phone: (954) 717-0275
Type: Location
1500 State St
Lexington, MO 640671107
Phone: (954) 717-0275
Type: Location
19600 E 39th St S
Independence, MO 640572301
Phone: (954) 717-0275
Type: Location
5721 W 119th St
Overland Park, KS 662093722
Phone: (954) 717-0275
Type: Location
17065 South 71 Highway
Belton, MO 640124631
Phone: (816) 348-1236
Fax: (816) 348-1229
Type: Location
2316 E Meyer Blvd
Kansas City, MO 641321136
Phone: (954) 717-0275
Type: Location
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States
ATLANTA, GA 303744327
Phone: (954) 507-6780
Fax: (866) 262-5507
Type: Mailing
Research Medical Center, 2316, East Meyer Boulevard, Blenheim, Kansas City, Jackson County, Missouri, 64132, United States
KANSAS CITY, MO 641321136
Phone: (816) 276-4593
Fax: (816) 276-4606
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: 2018-01-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (859 days ago).
Enrollment records
2
Earliest due date
2024-01-31
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 |
|---|---|---|---|---|
| O20171227000621 | O | Clinic/Group Practice | KS | 2024-01-31 |
| O20180129000230 | O | Clinic/Group Practice | MO | 2024-02-29 |
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 66215)
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