KANSAS CITY PHLEBOLOGY MEDICAL GROUP PA
NPI 1144266008
Surgery in Overland Park, KS

Active since June 21, 2006
10777 NALL AVE, #315, OVERLAND PARK, KS 66211(913) 345-2622 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 4, 2023, Feb 8, 2022, Apr 11, 2018 (3 updates tracked since 2018).

About Kansas City Phlebology Medical Group Pa NPPES

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

KANSAS CITY PHLEBOLOGY MEDICAL GROUP PA (NPI 1144266008) is a healthcare organization registered as a surgery in Overland Park, Kansas and active in the NPI registry since June 2006. The organization lists Nathan Amoruso, Sr Vp Revenue, as its authorized official.

NPPES Registry Identity

NPI1144266008
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameKANSAS CITY PHLEBOLOGY MEDICAL GROUP PA
Location Address10777 NALL AVE, #315Overland Park, KS 66211-1362
Mailing AddressPo Box 1602Northbrook, IL 60065-1602 · (847) 593-8460
Organization SubpartNo
Authorized OfficialNathan AmorusoSr Vp Revenue · (847) 593-8460
Enumeration DateJune 21, 2006
Last NPPES UpdateMay 4, 20233 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1144266008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedPhlebologyTaxonomy 202K00000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
10777 NALL AVE, Overland Park, KS 66211

Other Identifiers 2

Other110132045KS · Medicare Railroad
Other17430011KS · Blue Cross Blue Shield Of Kansas City

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kansas City Phlebology Medical Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKansasEnrollment IDO20050602000455Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kansas City Phlebology Medical Group PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Thoracic Surgery
NPI 1689889792
1337 S FOUNTAIN DR
Olathe, KS 66061
(913) 712-7031
✔ PECOS✔ Accepts Medicare11 mi
General Surgery
NPI 1619037405
20325 N 51ST AVE STE 102
Glendale, AZ 85308
(602) 253-4271
✔ PECOS✔ Accepts Medicare1,041 mi

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 Kansas City Phlebology Medical Group PA's NPI number?

The NPI number for Kansas City Phlebology Medical Group PA is 1144266008. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Kansas City Phlebology Medical Group PA located?

Kansas City Phlebology Medical Group PA is located at 10777 Nall Ave #315, Overland Park, KS 66211. The listed phone number is (913) 345-2622.

What is Kansas City Phlebology Medical Group PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kansas City Phlebology Medical Group PA enrolled in Medicare?

Yes. Kansas City Phlebology Medical Group PA is registered in the Medicare PECOS enrollment system.

When is Kansas City Phlebology Medical Group PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kansas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kansas City Phlebology Medical Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kansas City Phlebology Medical Group PA, in General Surgery and Thoracic Surgery. 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.

What insurance does Kansas City Phlebology Medical Group PA accept?

Health plans from Anthem Blue Cross and Blue Shield list Kansas City Phlebology Medical Group PA 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 Kansas City Phlebology Medical Group PA was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.