OPTUM MEDICAL GROUP PA
NPI 1063143907
Family Medicine in Overland Park, KS
About Optum Medical Group Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTUM MEDICAL GROUP PA (NPI 1063143907), doing business as Optum, is a healthcare organization registered as a family medicine in Overland Park, Kansas and active in the NPI registry since June 2022. The organization lists Jessica Aguilar, Associate Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optum Medical Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Optum Medical Group PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Optum Medical Group PA's NPI number?
The NPI number for Optum Medical Group PA is 1063143907. It was assigned to this organization in the NPPES registry on June 21, 2022. The provider is doing business as Optum.
Where is Optum Medical Group PA located?
Optum Medical Group PA is located at 6860 W 115th St, Overland Park, KS 66211. The listed phone number is (913) 253-0601.
What is Optum Medical Group PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Optum Medical Group PA enrolled in Medicare?
Yes. Optum Medical Group PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optum Medical Group PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Optum Medical Group PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Optum Medical Group PA was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Optum Medical Group Pa · NPI 1063143907
Family Medicine organization in Overland Park, Kansas. Organization record, active in the CMS NPPES registry since June 21, 2022.
## Identity
- **NPI:** 1063143907 (Entity type: Organization)
- **Enumerated:** June 21, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Optum (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jessica Aguilar, ASSOCIATE DIRECTOR
## Practice location
- **Address:** 6860 W 115TH ST, Overland Park, KS 66211-2457
- **Phone:** (913) 253-0601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063143907) · Data from the CMS NPPES public registry.