Active NPI
Manuel David Camejo, M.D.
- Ophthalmology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2017010076
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 205 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017010076 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| The Children's Mercy Hospital | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| University Health Physicians | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Sabates Eye Centers LLC | Ophthalmology | Current | Accepting new patients |
| The Children's Mercy Hospital | Current | Accepting new patients | |
| Sabates Eye Centers, PA | Ophthalmology | Current | 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
- 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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
-
dba Golden Valley Medical - Clinton
- Rural Health Clinic/Center
- Clinton, MO
- NPI 1003873266
-
dba GVMH Medical East
- Clinic/Center
- Clinton, MO
- NPI 1396379830
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
-
dba Children's Mercy Riverside Pharmacy - Mail
- Mail Order Pharmacy
- Riverside, MO
- NPI 1235923194
-
- Ophthalmology Physician
- Topeka, KS
- NPI 1891251419
-
- Durable Medical Equipment & Medical Supplies
- Kansas City, MO
- NPI 1093837528
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
-
dba University Health Truman Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1467595793
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.