MEDICARE: KANSAS UNIVERSITY PHYSICIANS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2086S0120X	Pediatric Surgery Physician
2	2086S0122X	Plastic and Reconstructive Surgery Physician
3	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01793041	OTHER	MO	BCBS OF KANSAS CITY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	026986	OTHER	KS	BCBS OF KANSAS

General Provider Information

NPI Number	:	1508078890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KANSAS UNIVERSITY PHYSICIANS INC

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	4070 DELP MAIL STOP 4017
City	:	KANSAS CITY
State	:	KS
Zip	:	66160
Country	:	US
Telephone Number	:	913-588-6115
Fax Number	:

Provider Business Practice Location Address
First Line	:	4002 MURPHY ADMINISTRATION BUILDING MAIL STOP 2005
Second Line	:	3901 RAINBOW BLVD
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-7308
Country	:	US
Telephone Number	:	913-588-6115
Fax Number	:

Authorized Official
Title or Position	:	SURGERY ADMINISTRATOR
Name	:	JERRY L KARASEK
Credential	:
Telephone Number	:	913-588-3117

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	05/19/2008

Similar Medicare Providers

1871672873 — CATHOLIC CHARITIES COMMUNITY SERVICES
Practice Location Address:

1594 N OATMAN RD
BULLHEAD CITY, AZ
86442-7308

Practice Phone: 928-758-4176
Practice Fax: 928-758-5141

1639627979 — MISTI BREITBACH NP
Practice Location Address:

340 N MAIN ST STE 311
WATFORD CITY, ND
58854-7308

Practice Phone: 701-444-2888
Practice Fax: 701-444-2813

1760973705 — LARS PEDERSON
Practice Location Address:

7308 NW 114TH ST
OKLAHOMA CITY, OK
73162

Practice Phone: 405-473-5817
Practice Fax:

1568026078 — JOSE RANGEL
Practice Location Address:

314 E 30TH ST
NATIONAL CITY, CA
91950-7308

Practice Phone: 619-995-9237
Practice Fax:

1740896828 — LISA MARIE SANFORD NP
Practice Location Address:

340 N MAIN ST STE 311
WATFORD CITY, ND
58854-7308

Practice Phone: 701-444-2888
Practice Fax: 701-444-2813

1366179509 — MISS JADE ALEXIS KELLING
Practice Location Address:

340 N MAIN ST STE 311
WATFORD CITY, ND
58854-7308

Practice Phone: 701-444-2888
Practice Fax: 701-444-2813

Directions to “KANSAS UNIVERSITY PHYSICIANS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.