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TOWN PLAZA FAMILY PRACTICE LLC
NPI 1972543494
Family Medicine in Overland Park, KS

Active since June 07, 2006CLIA 17D0919611 · Waiver
1/5
Overall Rating
5701 W 119TH ST, SUITE 410, OVERLAND PARK, KS 66209(913) 345-3650 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Town Plaza Family Practice Llc NPPES

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

TOWN PLAZA FAMILY PRACTICE LLC (NPI 1972543494) is a healthcare organization registered as a family medicine in Overland Park, Kansas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Benjamin Calkins, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1972543494
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTOWN PLAZA FAMILY PRACTICE LLC
Location Address5701 W 119TH ST, SUITE 410Overland Park, KS 66209-3722
Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 373-7406
Phone(913) 345-3650
Organization SubpartNo
Authorized OfficialBenjamin CalkinsGroup Vice President · (615) 372-6536
Enumeration DateJune 7, 2006
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1972543494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5701 W 119TH ST, Overland Park, KS 66209
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Other Identifiers 3

Other23902020MO · Bcbs Of Kc
Medicaid506089606MO
Medicaid100453440AKS

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 Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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)

Town Plaza Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Town Plaza Family Practice LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Family Practice4
Pulmonary Disease3
Internal Medicine1
Nurse Practitioner1
Obstetrics/Gynecology1

Clinicians, nearest first (10)

Nicole Annan, M.D.
Family Practice
NPI 1821416876
5701 W 119TH ST
Overland Park, KS 66209
(913) 345-3650
✔ PECOS✔ Accepts MedicareSame address
Mary Devers, MD
Family Practice
NPI 1376581090
5701 W 119TH ST SUITE 330
Overland Park, KS 66209
(913) 345-3650
✔ PECOSSame address
Brietta Forbes, MD
Internal Medicine
NPI 1154769115
5701 W 119TH ST STE 308
Overland Park, KS 66209
(913) 253-3070
✔ PECOS✔ Accepts MedicareSame address
Randy Luzania, MD
Family Practice
NPI 1558356543
5701 W 119TH ST SUITE 135
Overland Park, KS 66209
(913) 451-1311
✔ PECOS✔ Accepts MedicareSame address
Trenton Nauser, M.D.
Pulmonary Disease
NPI 1316961006
5701 W 119TH ST STE 308
Overland Park, KS 66209
(913) 253-3070
✔ PECOS✔ Accepts MedicareSame address
Andrew Oyelere
Nurse Practitioner
NPI 1811356520
5701 W 119TH ST SUITE 320
Overland Park, KS 66209
(913) 345-6960
✔ PECOS✔ Accepts MedicareSame address
Mitchell Tener, MD
Pulmonary Disease
NPI 1396032884
5701 W 119TH ST STE 308
Overland Park, KS 66209
(913) 253-3070
✔ PECOS✔ Accepts MedicareSame address
Tyler Oliverio
Family Practice
NPI 1326781626
6936 MISSION RD STE 202
Prairie Village, KS 66208
(913) 345-3650
✔ PECOS✔ Accepts Medicare6.4 mi
Peter Genaris, MD
Obstetrics/Gynecology
NPI 1871562389
6675 HOLMES RD SUITE 300
Kansas City, MO 64131
(816) 333-5005
✔ PECOS✔ Accepts Medicare7.7 mi
Michelle Homan, D.O.
Pulmonary Disease
NPI 1780995720
3901 RAINBOW BLVD # MS 3007 PULMONARY FELLOWSHIP
Kansas City, KS 66160
(913) 588-6046
✔ PECOS✔ Accepts Medicare10 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 17D0919611

Town Plaza Family Practice · Prairie Village, KS
Active · expires Jan 31, 2028
CLIA Number17D0919611
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorRandy C. Luzania
Laboratory Phone(913) 345-3650
Laboratory LocationTown Plaza Family Practice6936 Mission Rroad, Suite 202, Prairie Village, KS 66208
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Excel Healthcare And Rehab Overland Park (CMS certification number 175180), from CMS Care Compare.

Excel Healthcare And Rehab Overland Park

Nursing home · Overland Park, KS
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number175180
Certified Beds140 beds89 residents per day on average
Medicare & Medicaid Participant SinceFebruary 12, 1989
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
135.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.86 · LPN 0.73 · RN 0.28
2.87 hrs per resident per day
Weekend Nurse Staffing
2.93 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Administrators Who Have Left
In the past year.
3
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
6
Substantiated Complaints
16
Infection-Control Citations
0
Fines
3 totaling $205,315.35
Medicare Payment Denials
0
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Town Plaza Family Practice LLC's NPI number?

The NPI number for Town Plaza Family Practice LLC is 1972543494. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is Town Plaza Family Practice LLC located?

Town Plaza Family Practice LLC is located at 5701 W 119th St Suite 410, Overland Park, KS 66209. The listed phone number is (913) 345-3650.

What is Town Plaza Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Town Plaza Family Practice LLC enrolled in Medicare?

Yes. Town Plaza Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Town Plaza Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Town Plaza Family Practice LLC. 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. The largest specialties are Family Practice (4), Pulmonary Disease (3) and Internal Medicine (1). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Town Plaza Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0919611) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Town Plaza Family Practice LLC a Medicare-certified nursing home?

Yes. Excel Healthcare And Rehab Overland Park is a Medicare-certified nursing home with 140 certified beds.

What quality rating does Town Plaza Family Practice LLC have?

CMS rates Excel Healthcare And Rehab Overland Park 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Town Plaza Family Practice LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield list Town Plaza Family Practice LLC 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 Town Plaza Family Practice LLC was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.