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MICHOLEE BETH POLSAK DO
NPI 1003078007
Internal Medicine in Kansas City, KS

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS UNIVERSITY PHYSICIANS INC, KANSAS CITY, KS 66160(913) 588-3974(913) 588-6055 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Micholee Beth Polsak Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHOLEE BETH POLSAK DO (NPI 1003078007) is an individual internal medicine provider in Kansas City, Kansas, licensed in Kansas (05350404) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1003078007
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMICHOLEE BETH POLSAKCredential: DO
Location Address3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS UNIVERSITY PHYSICIANS INCKansas City, KS 66160
Mailing Address3901 Rainbow Blvd, 4070 Delp, Ms 4017, Kansas University Physicians IncKansas City, KS 66160 · (913) 588-2500
Phone(913) 588-3974
Fax(913) 588-6055
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateDecember 29, 2014
✔ NPI 1003078007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 05350404
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3901 RAINBOW BLVD, 6040 DELP, MS 1020, Kansas City, KS 66160
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Other Names 1

Former Name (1)Micholee Beth Emerson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Micholee Beth Polsak Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022296326
PECOS Enrollment IDI20110708000203
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
226 services174 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
131 services131 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services46 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
29 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers20 claims54 services$6.40 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,667 services$0.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$68.91 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers22 claims22 services$215.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JUDITH KHALAMWA NANDWA APRN
Nurse Practitioner (Family)
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6005
ARCHANA PAREEK M.D.
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6005
EMILY L RIEGEL M.D.
Internal Medicine (Hospice and Palliative Medicine)
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6005
REBECCA W OPOLE M.D.
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS UNIVERSITY PHYSICIANS INC
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
DR. NATHAN MICHAEL SANDERSE M.D.
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL & GERIATRIC MEDICINE, UNIVERSITY OF
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6005
DEON COX HAYLEY DO
Internal Medicine (Geriatric Medicine)
3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS UNIVERSITY PHYSICIANS INC
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
MR. ARAM BARBARYAN MD
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6005
GILLIAN NATASCHA SCHMIDT MD
Internal Medicine
3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS UNIVERSITY PHYSICIANS INC
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micholee Polsak's NPI number?

The NPI number for Micholee Polsak is 1003078007. It was assigned to this individual provider in the NPPES registry on June 30, 2008. The provider is also known as Micholee Beth Emerson.

Where is Micholee Polsak located?

Micholee Polsak practices at 3901 Rainbow Blvd, 6040 Delp, Ms 1020 Kansas University Physicians Inc, Kansas City, KS 66160. The listed phone number is (913) 588-3974.

What is Micholee Polsak's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Micholee Polsak enrolled in Medicare?

Yes. Micholee Polsak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Micholee Polsak accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Micholee Polsak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Micholee Polsak affiliated with any hospitals?

According to CMS data, Micholee Polsak is affiliated with University Of Kansas Hospital and Olathe Medical Center.

When was this NPI record last updated?

The NPPES record for Micholee Polsak was last updated on December 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.