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CORPORATE LAKES UROLOGY, LLC
NPI 1124482187
Urology in Overland Park, KS

Active since April 06, 2016CLIA 26D0687479 · Microscopy
6740 W 121ST ST, SUITE 350, OVERLAND PARK, KS 66209(913) 948-8365(913) 541-1034 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Corporate Lakes Urology, Llc NPPES

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

CORPORATE LAKES UROLOGY, LLC (NPI 1124482187) is a healthcare organization registered as an urology in Overland Park, Kansas and active in the NPI registry since April 2016. The organization holds a CLIA Microscopy certificate valid through May 25, 2027 and lists Billy Burl Perry, Owner, as its authorized official.

NPPES Registry Identity

NPI1124482187
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCORPORATE LAKES UROLOGY, LLC
Location Address6740 W 121ST ST, SUITE 350Overland Park, KS 66209-2002
Mailing Address6740 W 121st St, Suite 350Overland Park, KS 66209-2002 · (913) 948-8365 · Fax (913) 541-1034
Phone(913) 948-8365
Fax(913) 541-1034
Organization SubpartNo
Authorized OfficialBilly Burl PerryOwner · (913) 948-8365
Enumeration DateApril 6, 2016
✔ NPI 1124482187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in KS · 0431342
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6740 W 121ST ST, Overland Park, KS 66209
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corporate Lakes Urology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Corporate Lakes Urology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Billy Perry, M.D.
Urology
NPI 1598731267
6740 W 121ST ST STE 350
Overland Park, KS 66209
(913) 948-8365
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 26D0687479

Corporate Lakes Urology, LLC · Overland Park, KS
Active · expires May 25, 2027
CLIA Number26D0687479
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorBilly B. Perry MD
Laboratory Phone(913) 948-8365
Laboratory LocationCorporate Lakes Urology, LLC6740 W 121st Street Suite 350, Overland Park, KS 66209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Corporate Lakes Urology, LLC's NPI number?

The NPI number for Corporate Lakes Urology, LLC is 1124482187. It was assigned to this organization in the NPPES registry on April 6, 2016.

Where is Corporate Lakes Urology, LLC located?

Corporate Lakes Urology, LLC is located at 6740 W 121st St Suite 350, Overland Park, KS 66209. The listed phone number is (913) 948-8365.

What is Corporate Lakes Urology, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Corporate Lakes Urology, LLC enrolled in Medicare?

Yes. Corporate Lakes Urology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Corporate Lakes Urology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Corporate Lakes Urology, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Corporate Lakes Urology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0687479) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Corporate Lakes Urology, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Corporate Lakes Urology, LLC 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.

When was this NPI record last updated?

The NPPES record for Corporate Lakes Urology, LLC was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.