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

Dr. Amy Jiayue Petty, MD, PHD

Individual provider Dermatology Physician · NPI 1124609078

Dr. Amy Jiayue Petty, MD, PHD is a Dermatology in Overland Park, Kansas. Graduated from Duke University School of Medicine in 2021, 5 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
5
Trained at
Duke University School of Medicine
Licensed in
KS, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10740 Nall Ave # LEVEL3
Overland Park, KS 66211-1367
Phone: (913) 588-1227
Fax: (913) 588-8761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 04-51339 (KS)
Dermatology Physician Taxonomy 207N00000X · Licence 2025006496 (MO)

Record details

NPI number1124609078
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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