Jim I Mertz, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R5657 Issued in MO

Practice address

4320 Wornall Rd.
Ste 208
Kansas City, MO 64111-3255

Phone

(816) 531-0552

Fax

(816) 756-2503

NPI assigned

Apr 19, 2006

Last updated

Dec 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Kansas City Kidney Consultants, PA

  • Nephrology Physician
  • Kansas City, MO
  • NPI 1164528626

  KS

  Medicare reassignment
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1003871443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD.",
            "address_2": "STE 208",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113255",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD.",
            "address_2": "STE 208",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113255",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZ",
        "first_name": "JIM",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R5657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonica F Merritt, FNP-C
• Lauren Hunter Merritt, APRN
• Travis Lyle Merritt
• Angela Maria Merry, LPN
• Jamie Lyn Mertz, PA-C
• Elisabeth Merz, LPC, LCPC, MT-BC
• Pennie L Mesmer, ARNPC
• Brenda Gale Messer
• Jennifer Lynn Messer, DC
• Sha'Era Messick, LCSW

• Nephrology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.