CARBON HEALTH PRIMARY CARE OF KANSAS PA
NPI 1548925340
Clinic/Center - Primary Care in Overland Park, KS

Active since November 05, 2021CLIA 17D2209056 · Waiver
4817 W 119TH ST STE 120, OVERLAND PARK, KS 66209(913) 298-2743 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2024, Oct 16, 2023, Nov 9, 2021 and 1 more (4 updates tracked since 2021).

About Carbon Health Primary Care Of Kansas Pa NPPES

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

CARBON HEALTH PRIMARY CARE OF KANSAS PA (NPI 1548925340) is a healthcare organization registered as a primary care in Overland Park, Kansas and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Kaitlin Boyle, Director, as its authorized official.

NPPES Registry Identity

NPI1548925340
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCARBON HEALTH PRIMARY CARE OF KANSAS PA
Location Address4817 W 119TH ST STE 120Overland Park, KS 66209-1560
Mailing Address300 California St Fl 7San Francisco, CA 94104-1415
Organization SubpartNo
Authorized OfficialKaitlin BoyleDirector · (303) 601-5392
Enumeration DateNovember 5, 2021
Last NPPES UpdateJuly 16, 20244 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
NPI 1548925340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4817 W 119TH ST STE 120, Overland Park, KS 66209

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 17D2209056

Carbon Health Medical Group Of Kansas PA · Overland Park, KS
Active · expires Jan 10, 2027
CLIA Number17D2209056
Laboratory TypeUrgent Care
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorSujal S. Mandavia
Laboratory Phone(913) 298-2743
Laboratory LocationCarbon Health Medical Group Of Kansas PA4817 W 119th Street Suite 120, Overland Park, KS 66209
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Urgent Care)
4817 W 119TH ST STE 120
OVERLAND PARK, KS 66209
Clinic/Center (Primary Care)
4817 W 119TH ST STE 120
OVERLAND PARK, KS 66209

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 Carbon Health Primary Care Of Kansas PA's NPI number?

The NPI number for Carbon Health Primary Care Of Kansas PA is 1548925340. It was assigned to this organization in the NPPES registry on November 5, 2021.

Where is Carbon Health Primary Care Of Kansas PA located?

Carbon Health Primary Care Of Kansas PA is located at 4817 W 119th St Ste 120, Overland Park, KS 66209. The listed phone number is (913) 298-2743.

What is Carbon Health Primary Care Of Kansas PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Carbon Health Primary Care Of Kansas PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2209056) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carbon Health Primary Care Of Kansas PA was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.