Active NPI
Irene E Bettinger, M.D.
- Neurology Physician
- Kansas City, MO
National Provider Identifier
1003854548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- R5844
- Practice address
- 4400 Broadway
Suite 520
Kansas City, MO 64111-3342 - Phone
- (816) 531-4080
- Fax
- (816) 531-0281
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | R5844 | MO | Primary |
| Neurology Physician | 2084N0400X | 04-15910 | KS |
Addresses
Primary practice location
4400 Broadway
Suite 520
Kansas City, MO 64111-3342
Mailing address
4400 Broadway
Suite 520
Kansas City, MO 64111-3342
Phone (816) 531-4080
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100350910B | Medicaid | KS | |
| 03385075 | Other | BLUE CROSS BLUE SHIELD | |
| 4001299 | Other | AETNA | |
| 100350910C | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-15910 | KS | MD | Neurology Physician |
| R5844 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Consultants of Kansas City, Inc | Neurology | Past | Accepting new patients |
| SLNC Inc | Neurology | Past | Accepting new patients |
| Saint Lukes Hospital of Chillicothe | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Kansas City, MO
- NPI 1992746796
-
- Emergency Medicine Physician
- Chillicothe, MO
- NPI 1245433127
-
- Neurology Physician
- Kansas City, MO
- NPI 1174801534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1003854548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 BROADWAY",
"address_2": "SUITE 520",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113342",
"telephone_number": "816-531-4080",
"fax_number": "816-531-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BROADWAY",
"address_2": "SUITE 520",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113342",
"telephone_number": "816-531-4080",
"fax_number": "816-531-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTINGER",
"first_name": "IRENE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "R5844",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "04-15910",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100350910B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "03385075",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4001299",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100350910C",
"state": "KS"
}
],
"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 Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.