KC DIABETES & ENDOCRINOLOGY PA
NPI 1457907370
Internal Medicine - Endocrinology, Diabetes & Metabolism in Overland Park, KS

Q: What is Kc Diabetes & Endocrinology PA's NPI number?

The NPI number for Kc Diabetes & Endocrinology PA is 1457907370. It was assigned to this organization in the NPPES registry on August 15, 2019.

Q: What is Kc Diabetes & Endocrinology PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since August 15, 2019CLIA 17D2181103 · Waiver

11661 COLLEGE BLVD STE 100, OVERLAND PARK, KS 66210(913) 954-8500(913) 432-8402 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kc Diabetes & Endocrinology Pa NPPES

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

KC DIABETES & ENDOCRINOLOGY PA (NPI 1457907370) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Overland Park, Kansas and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Mustafa Hussein, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1457907370

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameKC DIABETES & ENDOCRINOLOGY PA

Location Address11661 COLLEGE BLVD STE 100Overland Park, KS 66210-4107

Mailing Address11661 College Blvd Ste 100Overland Park, KS 66210-4107 · (913) 954-8500 · Fax (913) 432-8402

Phone(913) 954-8500

Fax(913) 432-8402

Organization SubpartNo

Authorized OfficialMustafa HusseinPractice Manager · (913) 954-8500

Enumeration DateAugust 15, 2019

✔ NPI 1457907370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

11661 COLLEGE BLVD STE 100, Overland Park, KS 66210

Open in Google Maps ↗

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 Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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)

Kc Diabetes & Endocrinology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kc Diabetes & Endocrinology PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

M Yaser Mounla, M.D.

Endocrinology

NPI 1154399921

11661 COLLEGE BLVD STE 100
Overland Park, KS 66210

(913) 232-9020

✔ PECOS✔ Accepts MedicareSame address

Angela Pettus, DNP

Nurse Practitioner

NPI 1336873371

8550 MARSHALL DR STE 200
Lenexa, KS 66214

(913) 495-2000

✔ PECOS✔ Accepts Medicare3.2 mi

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 of Waiver 17D2181103

Kc Diabetes & Endocrinology, PA · Overland Park, KS

Active · expires Mar 25, 2028

CLIA Number17D2181103

Laboratory TypePhysician Office

Certificate Effective DateMarch 26, 2026

Certificate Expiration DateMarch 25, 2028

Laboratory DirectorM Yaser Mounla

Laboratory Phone(913) 232-9020

Laboratory LocationKc Diabetes & Endocrinology, PA11661 College Blvd Suite 100, Overland Park, KS 66210

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only 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 Kc Diabetes & Endocrinology PA's NPI number?

The NPI number for Kc Diabetes & Endocrinology PA is 1457907370. It was assigned to this organization in the NPPES registry on August 15, 2019.

Where is Kc Diabetes & Endocrinology PA located?

Kc Diabetes & Endocrinology PA is located at 11661 College Blvd Ste 100, Overland Park, KS 66210. The listed phone number is (913) 954-8500.

What is Kc Diabetes & Endocrinology PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kc Diabetes & Endocrinology PA enrolled in Medicare?

Yes. Kc Diabetes & Endocrinology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kc Diabetes & Endocrinology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kc Diabetes & Endocrinology PA, in Endocrinology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kc Diabetes & Endocrinology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2181103) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kc Diabetes & Endocrinology PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Kc Diabetes & Endocrinology 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 Kc Diabetes & Endocrinology PA was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.