O. Layton Alldredge Jr., MD
Individual provider Active NPI Anesthesiology Physician · Kansas City, KS
NPI 1013236934 · NPPES record last updated May 18, 2010
Key facts
- NPI
- 1013236934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 94-07372 (KS)
- Practice address
- Kansas University Medical Ctr
3901 Rainbow Blvd Ms 1034
Kansas City, KS 66160-0001 - Phone
- (913) 588-3304
- NPI assigned
- May 18, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Tulane University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sevocation Anesthesia PLLC
Millcreek Anesthesia PC
Tuality Anesthesia Services LLC
Practice addresses (Care Compare)
11925 S State St
Draper, UT 84020-7735
Phone (801) 545-8000
1200 E 3900
St Marks Hospital
Salt Lake City, UT 84124-1300
Phone (801) 268-7111
335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1270
Hospital & facility affiliations
- Lone Peak Hospital
- St Mark'S Hospital
- Hillsboro Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150821013748 | UT | Practitioner - Anesthesiology | 2264687839 | Reassigns benefits to 2 organizations |
| I20250828004538 | OR | Practitioner - Anesthesiology | 2264687839 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-07372 | KS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Anesthesia Services, LLC | Anesthesiology | Current |
Accepting new patients |
| Millcreek Anesthesia PC | Anesthesiology | Current |
Accepting new patients |
Locations
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
11925 S State St
Draper, UT 84020
Phone (801) 545-8000
1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 94-07372 | KS | Yes |
Addresses
Primary practice location
Kansas University Medical Ctr
3901 Rainbow Blvd Ms 1034
Kansas City, KS 66160-0001
Mailing address
Kansas University Medical Ctr
3901 Rainbow Blvd Ms 1034
Kansas City, KS 66160-0001
Phone (913) 588-3304
Other providers in Kansas City, KS
- Cheen Kassim Alkhatib
- Hussien Alkully
- All in One Staffing
- All in One Therapy Services LLC
- Gracie Ann Allan
- Ash Allee
- Rachel Katheryn Allegri
- Thomas James Allegri
- Laura Allen-Matlock
- Elizabeth Allen
All providers in Kansas City, KS · Anesthesiology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.