Individual provider Active NPI

Karl J. Haake, MD

  • Pain Medicine (Anesthesiology) Physician
  • Clinton, MO
National Provider Identifier
1003801747
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2002003282 Issued in MO
Practice address
1600 N 2ND St
Clinton, MO 64735-1192
Phone
(913) 261-9081
Fax
(913) 261-9081
NPI assigned
Sep 19, 2005
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2002003282 MO Primary

Addresses

Primary practice location

1600 N 2ND St
Clinton, MO 64735-1192

Mailing address

PO Box 11521
Shawnee Mission, KS 66207-4221
Phone (913) 261-9081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NE, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050606000578 MO Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3274506050 Reassigns benefits to 4 organizations
I20220203001979 NE Practitioner - AnesthesiologyPractitioner - Pain Management 3274506050 Reassigns benefits to 1 organization
I20230510000802 KS Practitioner - Pain Management 3274506050 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Creighton University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare System IncGroup PAC ID 8325031529, shared by 11 NPIs, 31 clinicians

Practice addresses (Care Compare)

120 W 8TH St
Onaga, KS 66521-9574
Phone (785) 889-4274

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002003282MOMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage CurrentSince Sep 22, 2016 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Mar 30, 2011 Accepting new patients
Community Healthcare System, Inc CurrentSince Apr 1, 2024 Accepting new patients
Great Plains of Sabetha Inc Current Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Mar 30, 2011 Accepting new patients
Community Healthcare System, Inc CurrentSince Dec 1, 2025 Accepting new patients
Harrison County Community Hospital District Current Accepting new patients
Mercy Hospital Carthage CurrentSince Sep 22, 2016 Accepting new patients
Great Plains of Sabetha, Inc. CurrentSince May 1, 2023 Accepting new patients
Community Healthcare System, Inc CurrentSince Apr 1, 2024 Accepting new patients
Great Plains of Sabetha, Inc. CurrentSince May 1, 2023 Accepting new patients
Community Medical Center, Inc. Current Accepting new patients
Compass Health, Inc. Past Accepting new patients
Community Healthcare System, Inc Past Accepting new patients
Senior Health Associates, LLC Past Accepting new patients
Mid-Missouri Anesthesia Consultants PC Pain Medicine Past Accepting new patients
Compass Health, Inc Past Accepting new patients
Stevens Point Anesthesia Association, S.C. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Community Healthcare System, Inc Past Accepting new patients

Locations

1603 W 4th St
Holton, KS 66436
Phone (785) 364-3205

1115 Main St
Sabetha, KS 66534
Phone (785) 284-2141

2600 Miller St
Bethany, MO 64424
Phone (660) 425-0253

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

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

3307 Bill Schock Blvd
Falls City, NE 68355
Phone (402) 245-2428

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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5d5c0d2d-0eb7-48af-8536-161bb1a08f58/

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1003801747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11521",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662074221",
            "telephone_number": "913-261-9081",
            "fax_number": "913-261-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351192",
            "telephone_number": "913-261-9081",
            "fax_number": "913-261-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAKE",
        "first_name": "KARL",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2002003282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

Verify at the official NPI Registry.