Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optum Medical Group P A

Organization Family Medicine Physician · NPI 1063143907

Optum Medical Group P A is a Family Medicine Physician in Overland Park, Kansas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

6860 W 115th St
Overland Park, KS 66211-2457
Phone: (913) 253-0601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1063143907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Castillo — Medical Staff Manager · (702) 480-2550
Other names Optum; Optum
NPI enumeratedJune 21, 2022
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Other providers in Overland Park