Active NPI
Andrew B Kaufman, M. D.
- Neurological Surgery Physician
- Overland Park, KS
National Provider Identifier
1013989383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- R4609
- Practice address
- 5701 W 119TH St
Suite 215
Overland Park, KS 66209-3721 - Phone
- (888) 942-2774
- Fax
- (866) 807-1897
- NPI assigned
- Feb 2, 2006
- Last updated
- Apr 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R4609 | MO | |
| Specialist | 174400000X | 04-15463 | KS | |
| Neurological Surgery Physician | 207T00000X | R4609 | MO | Primary |
Addresses
Primary practice location
5701 W 119TH St
Suite 215
Overland Park, KS 66209-3721
Mailing address
5701 W 119TH St
Suite 215
Overland Park, KS 66209-3721
Phone (888) 942-2774
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001570D | Medicaid | KS | |
| 1013989383 | Medicaid | MO | |
| 100001570F | Medicaid | KS | |
| 100001570A | Medicaid | KS | |
| 100001570 C | Medicaid | KS | |
| 100001570E | Medicaid | KS | |
| 200785707 | Medicaid | MO |
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 |
|---|---|---|---|
| 04-15463 | KS | MD | Specialist |
| R4609 | MO | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Research Multi-Specialty Physicians Group LLC | Neurological Surgery | Past | Accepting new patients |
| Midwest Division Spine Care LLC | Past | Accepting new patients | |
| Pain & Wellness Clinic, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Overland Park, KS
- NPI 1477739803
-
- Interventional Pain Medicine Physician
- Overland Park, KS
- NPI 1710151873
-
- Physical Medicine & Rehabilitation Physician
- Kansas City, MO
- NPI 1104945013
Neurological Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1013989383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 W 119TH ST",
"address_2": "SUITE 215",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093721",
"telephone_number": "888-942-2774",
"fax_number": "866-807-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W 119TH ST",
"address_2": "SUITE 215",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093721",
"telephone_number": "888-942-2774",
"fax_number": "866-807-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "ANDREW",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "R4609",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "04-15463",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MO",
"license": "R4609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001570D",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013989383",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001570F",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001570A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001570 C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001570E",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200785707",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.