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MIDWEST PEDIATRIC SPECIALISTS P A
NPI 1891390548
Pediatrics - Pediatric Gastroenterology in Overland Park, KS

Active since December 01, 2020CLIA 17D2203842 · Waiver
10550 QUIVIRA RD STE 520, OVERLAND PARK, KS 66215(913) 310-0482(913) 894-1330 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2024, Jul 11, 2023, Jan 19, 2023 and 1 more (4 updates tracked since 2020).

About Midwest Pediatric Specialists P A NPPES

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

MIDWEST PEDIATRIC SPECIALISTS P A (NPI 1891390548) is a healthcare organization registered as a pediatric gastroenterology in Overland Park, Kansas and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through December 6, 2026, maintains a secondary practice location in Lees Summit, and lists Makali R Mickelson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891390548
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NameMIDWEST PEDIATRIC SPECIALISTS P A
Location Address10550 QUIVIRA RD STE 520Overland Park, KS 66215-2307
Mailing Address10550 Quivira Rd Ste 520Overland Park, KS 66215-2307 · (913) 310-0482
Phone(913) 310-0482
Fax(913) 894-1330
Organization SubpartNo
Authorized OfficialMakali R MickelsonOffice Manager · (913) 310-0482
Enumeration DateDecember 1, 2020
Last NPPES UpdateAugust 23, 20244 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1891390548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X
10550 QUIVIRA RD STE 520, Overland Park, KS 66215
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Secondary Practice Location 1

Location 12000 SE Blue Pkwy Ste 235Lees Summit, MO 64063-1041 · Phone (913) 310-0482 ext. 100

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

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

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 17D2203842

Midwest Pediatric Specialist PA · Overland Park, KS
Active · expires Dec 6, 2026
CLIA Number17D2203842
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorLarry K. Midyett
Laboratory Phone(913) 310-0482
Laboratory LocationMidwest Pediatric Specialist PA10550 Quivira Rd, Suite 520, Overland Park, KS 66215
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MRS. MARGARET ELIZABETH GOOSSEN FNP-C
Nurse Practitioner (Family)
10550 QUIVIRA RD STE 520
OVERLAND PARK, KS 66215
Johnson County (913) 310-0482
LAURA BEHLER APRN
Nurse Practitioner (Family)
10550 QUIVIRA RD STE 520
OVERLAND PARK, KS 66215
Johnson County (913) 310-0482
COREY WILLIAM IQBAL MD
Surgery (Pediatric Surgery)
10550 QUIVIRA RD STE 520
OVERLAND PARK, KS 66215
Johnson County (913) 310-0482
SAMUEL R LEHMAN MD NEUROLOGY
Psychiatry & Neurology (Neurology)
10550 QUIVIRA RD STE 520
OVERLAND PARK, KS 66215
Johnson County (913) 345-4814

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 Midwest Pediatric Specialists P A's NPI number?

The NPI number for Midwest Pediatric Specialists P A is 1891390548. It was assigned to this organization in the NPPES registry on December 1, 2020.

Where is Midwest Pediatric Specialists P A located?

Midwest Pediatric Specialists P A is located at 10550 Quivira Rd Ste 520, Overland Park, KS 66215. The listed phone number is (913) 310-0482.

What is Midwest Pediatric Specialists P A's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Does Midwest Pediatric Specialists P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2203842) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midwest Pediatric Specialists P A accept?

Health plans from Anthem Blue Cross and Blue Shield list Midwest Pediatric Specialists P A 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 Midwest Pediatric Specialists P A was last updated on August 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.