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MEDICAL PLAZA INTERNAL MEDICINE
NPI 1063847812
Internal Medicine in Overland Park, KS

Active since September 12, 2013CLIA 26D0443654 · Waiver
10787 NALL AVE, STE 310, OVERLAND PARK, KS 66211(913) 945-6900 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Plaza Internal Medicine NPPES

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

MEDICAL PLAZA INTERNAL MEDICINE (NPI 1063847812) is a healthcare organization registered as an internal medicine in Overland Park, Kansas and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through March 23, 2028 and lists Monica Davis Pfeiffer, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063847812
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJAYHAWK PRIMARY CARE INC
Location Address10787 NALL AVE, STE 310Overland Park, KS 66211-1375
Mailing Address2330 Shawnee Mission Pkwy, Ste 312Westwood, KS 66205-2005 · (913) 945-5614
Phone(913) 945-6900
Organization SubpartYes
Authorized OfficialMonica Davis PfeifferNurse Practitioner · (913) 588-6900
Enumeration DateSeptember 12, 2013
✔ NPI 1063847812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
10787 NALL AVE, Overland Park, KS 66211
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Other Names 1

Doing Business AsMedical Plaza Internal Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0443654

Medical Plaza Internal Medicine Lab · Overland Park, KS
Active · expires Mar 23, 2028
CLIA Number26D0443654
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorBruce Salvaggio
Laboratory Phone(913) 945-6900
Laboratory LocationMedical Plaza Internal Medicine Lab10787 Nall Ave, Overland Park, KS 66211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. PAUL G DIEDERICH M.D.
Internal Medicine
10787 NALL AVE, STE. 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
GRETCHEN P POLAND ARNP-C
Nurse Practitioner (Family)
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
KATHRYN TIMM ARNP-C
Nurse Practitioner (Family)
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
DOUGLAS S. ANDERSON M.D.
Family Medicine
10787 NALL AVE, SUITE 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
CELINA C BERNABE DO
Allergy & Immunology
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
DUSTIN P BAKER APRN, FNP-C
Nurse Practitioner (Family)
10787 NALL AVE
OVERLAND PARK, KS 66211
Johnson County (913) 588-0000
DR. MICHAEL GREEN D.C
Chiropractor
10787 NALL AVE, SUITE 110
OVERLAND PARK, KS 66211
Johnson County (913) 667-2829
SOUTHWIND ANESTHESIA SERVICES, P.A.
Anesthesiology
10787 NALL AVE, SUITE 100
OVERLAND PARK, KS 66211
Johnson County (913) 312-3710

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 Jayhawk Primary Care Inc's NPI number?

The NPI number for Jayhawk Primary Care Inc is 1063847812. It was assigned to this organization in the NPPES registry on September 12, 2013. The provider is doing business as Medical Plaza Internal Medicine.

Where is Jayhawk Primary Care Inc located?

Jayhawk Primary Care Inc is located at 10787 Nall Ave Ste 310, Overland Park, KS 66211. The listed phone number is (913) 945-6900.

What is Jayhawk Primary Care Inc's specialty?

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

Does Jayhawk Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0443654) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jayhawk Primary Care Inc was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.