ALEXIS RUFFOLO SAMPATH MD
NPI 1639738644
Plastic Surgery in Leawood, KS

Q: What is Alexis Sampath's NPI number?

The NPI number for Alexis Sampath is 1639738644. It was assigned to this individual provider in the NPPES registry on June 12, 2019. The provider is also known as Alexis Michelle Ruffolo.

Q: What is Alexis Sampath's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Sampath was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment

4801 W 135TH ST, LEAWOOD, KS 66224(913) 663-3838(913) 663-4434 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Jun 12, 2019 (2 updates tracked since 2019).

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About Alexis Ruffolo Sampath Md NPPES

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

ALEXIS RUFFOLO SAMPATH MD (NPI 1639738644) is an individual plastic surgery provider in Leawood, Kansas, licensed in Kansas (04-51286) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of University Of Missouri, Columbia School Of Medicine (2019).

NPPES Registry Identity

NPI1639738644

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameALEXIS RUFFOLO SAMPATHCredential: MD

Location Address4801 W 135TH STLeawood, KS 66224-8901

Mailing Address4801 W 135th StLeawood, KS 66224-8901 · (913) 663-3838 · Fax (913) 663-4434

Phone(913) 663-3838

Fax(913) 663-4434

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2019

Enumeration DateJune 12, 2019

Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1639738644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in KS · 04-51286✔ Licensed in IL · 125074635

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

4801 W 135TH ST, Leawood, KS 66224

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Other Names 1

Former Name (1)Alexis Michelle Ruffolo

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis Ruffolo Sampath Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648505925

PECOS Enrollment IDI20260113003644, I20260401001528

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170104

Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

DR. JEFFREY RHODES DILLOW M.D.

Surgery (Plastic and Reconstructive Surgery)