KANSAS MEDICAL CLINIC PA – MOHS-Micrographic Surgery Physician, NPI 1508877523
MOHS-Micrographic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KANSAS MEDICAL CLINIC PA
PO BOX 219436
KANSAS CITY, MO 641219436
Phone: (785) 232-2284
Fax: (785) 232-2285
Type: Mailing
3511 Clinton Pl Ste C
Lawrence, KS 660472213
Phone: (785) 331-4488
Fax: (785) 331-4338
Type: Location
4201B Anderson Ave Ste 2
Manhattan, KS 665037601
Phone: (785) 320-7774
Fax: (785) 320-7758
Type: Location
801 N Mur Len Rd Ste 112
Olathe, KS 660621794
Phone: (913) 738-8033
Fax: (913) 738-8034
Type: Location
3550 S 4th St Ste 250
Leavenworth, KS 660485061
Phone: (913) 565-2569
Fax: (913) 565-2571
Type: Location
5820 LaMar Ave Ste 200
Mission, KS 662022655
Phone: (913) 631-6330
Fax: (913) 631-6222
Type: Location
11301 Nall Ave Ste 205
Leawood, KS 662111774
Phone: (913) 451-5934
Fax: (913) 451-4716
Type: Location
10940 Parallel Pkwy Ste M
Kansas City, KS 661094515
Phone: (913) 788-7099
Fax: (913) 788-7065
Type: Location
2921 SW Wanamaker Dr
Topeka, KS 666145328
Phone: (785) 272-6860
Fax: (785) 272-5839
Type: Location
1602 W 15th Ave Ste D
Emporia, KS 668019804
Phone: (620) 208-8518
Fax: (620) 208-8520
Type: Location
19101 E Valley View Pkwy Ste A
Independence, MO 640556907
Phone: (816) 795-3353
Fax: (816) 795-3354
Type: Location
Kansas Medical Clinic, 2200, Southwest 6th Avenue, Topeka, Shawnee County, Kansas, 66606, United States
TOPEKA, KS 666061707
Phone: (785) 354-8518
Fax: (785) 354-1255
Type: Location
PO BOX 255
MANHATTAN, KS 665050255
Phone: (785) 232-2284
Fax: (785) 232-2285
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: 2019-09-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (618 days ago).
Enrollment records
2
Earliest due date
2024-09-30
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 |
|---|---|---|---|---|
| O20040308000496 | O | Clinic/Group Practice | KS | TBD |
| O20190917001789 | O | Clinic/Group Practice | MO | 2024-09-30 |
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 64121)
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