OVERLAND PARK VA CLINIC
NPI 1093104283
Clinic/Center - VA in Overland Park, KS

Active since January 12, 2015CLIA 17D2008497 · Accreditation
10500 MASTIN ST, OVERLAND PARK, KS 66212(913) 578-4409 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 14, 2017, Sep 29, 2015 (2 updates tracked since 2015).

About Overland Park Va Clinic NPPES

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

OVERLAND PARK VA CLINIC (NPI 1093104283) is a healthcare organization registered as a va in Overland Park, Kansas and active in the NPI registry since January 2015. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1093104283
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameKANSAS CITY VAMC
Location Address10500 MASTIN STOverland Park, KS 66212-5717
Mailing AddressPo Box 94458Cleveland, OH 44101-4458 · (913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJanuary 12, 2015
Last NPPES UpdateDecember 14, 20172 updates tracked since enumeration
NPI 1093104283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
10500 MASTIN ST, Overland Park, KS 66212

Other Names 1

Other NameOverland Park Va Clinic

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 Accreditation 17D2008497

Overland Park VA Clinic · Overland Park, KS
Active · expires Sep 30, 2026
CLIA Number17D2008497
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 11, 2010
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorOzlem Ulusarac
Laboratory Phone(816) 922-2500
Laboratory LocationOverland Park VA Clinic10500 Mastin, Overland Park, KS 66212
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

Radiologic Technologist (Radiation Therapy)
10500 MASTIN ST
OVERLAND PARK, KS 66212

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 Kansas City Vamc's NPI number?

The NPI number for Kansas City Vamc is 1093104283. It was assigned to this organization in the NPPES registry on January 12, 2015. The provider is also known as Overland Park VA Clinic.

Where is Kansas City Vamc located?

Kansas City Vamc is located at 10500 Mastin St, Overland Park, KS 66212. The listed phone number is (913) 578-4409.

What is Kansas City Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Kansas City Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 17D2008497) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kansas City Vamc was last updated on December 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.