Individual provider Active NPI

Manuel David Camejo, M.D.

  • Ophthalmology Physician
  • Kansas City, MO
National Provider Identifier
1003250606
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2017010076 Issued in MO
Practice address
4320 Wornall Rd Ste 220
Kansas City, MO 64111-5954
Phone
(913) 261-2020
Fax
(913) 261-2090
NPI assigned
Apr 25, 2013
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2017010076 MO Primary

Addresses

Primary practice location

4320 Wornall Rd Ste 220
Kansas City, MO 64111-5954

Mailing address

11261 Nall Ave
Leawood, KS 66211-1669
Phone (913) 671-3220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170614000056 MO Practitioner - Ophthalmology 5991073082 Reassigns benefits to 4 organizations
I20170619002111 KS Practitioner - Ophthalmology 5991073082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sabates Eye Centers LLCGroup PAC ID 3971491093, 19 clinicians
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

11261 Nall Ave
Leawood, KS 66211-1669
Phone (913) 261-2020

2101 Charlotte St
Kansas City, MO 64108-2727
Phone (816) 404-2222

4320 Wornall Rd
Suite 220
Kansas City, MO 64111-5954
Phone (913) 261-2020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017010076MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District Current Accepting new patients
The Children's Mercy Hospital CurrentSince Oct 25, 2019 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Dec 1, 2018 Accepting new patients
University Health Physicians CurrentSince Jan 14, 2019 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Dec 1, 2018 Accepting new patients
Sabates Eye Centers LLC Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients
The Children's Mercy Hospital CurrentSince Oct 25, 2019 Accepting new patients
Sabates Eye Centers, PA Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients
Sabates Eye Centers PA Past Accepting new patients

Locations

5808 W 110th St
Overland Park, KS 66211
Phone (913) 696-8000

11261 Nall Ave
Shawnee Mission, KS 66211
Phone (913) 671-3220

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

4741 S Arrowhead Dr
Independence, MO 64055
Phone (816) 795-6000

2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072

2101 Charlotte St
Ste 250
Kansas City, MO 64108
Phone (816) 404-2222

2301 Holmes St
Kansas City, MO 64108

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

4320 Wornall Rd
Ste 220
Kansas City, MO 64111

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

5811 NW Barry Rd
Kansas City, MO 64154

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

1329 Village Dr
Saint Joseph, MO 64506
Phone (816) 279-8600

Networks

  • IL PPO Downstate
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IA HMO

Interoperability endpoints

  • Direct secure messaging: manuel.camejo.p1@direct.sabateseye.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1003250606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11261 NALL AVE",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111669",
            "telephone_number": "913-671-3220",
            "fax_number": "913-671-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD STE 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115954",
            "telephone_number": "913-261-2020",
            "fax_number": "913-261-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMEJO",
        "first_name": "MANUEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2017010076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.