Individual provider Active NPI

Quintin Lee Cokingtin, M.D.

  • Pulmonary Disease Physician
  • Lees Summit, MO
National Provider Identifier
1023089349
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R9G23 Issued in MO
Practice address
290 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone
(816) 524-5522
Fax
(816) 875-2598
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X R9G23 MO
Pulmonary Disease Physician 207RP1001X 04-24934 KS
Sleep Medicine (Internal Medicine) Physician 207RS0012X R9G23 MO
Pulmonary Disease Physician 207RP1001X R9G23 MO Primary

Addresses

Primary practice location

290 NE Tudor Rd
Lees Summit, MO 64086-5696

Mailing address

290 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone (816) 478-4200

Other identifiers 2

IdentifierTypeStateIssuer
200374620AMedicaidKS
203298401MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address quintin.cokingtin.1@12752.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060203000436 KS Practitioner - Pulmonary DiseasePractitioner - Other (Physician)Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5597654715 Reassigns benefits to 1 organization
I20101103000653 MO Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5597654715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (816) 478-4200

4801 College Blvd
Leawood, KS 66211-1628
Phone (913) 721-3387

Hospital & facility affiliations

  • Ascentist Hospital LLC Hospital, Leawood, KS, CCN 170194
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as individual
Quality
83.56
Promoting interoperability
100
Improvement activities
40
Cost
71.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC Pulmonary Disease CurrentSince Dec 1, 2021 Accepting new patients
Doctors Hospital, LLC Past Accepting new patients

Locations

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200

4820 College Blvd
Ste A
Overland Park, KS 66211

4061 Indian Creek Pkwy
Ste 350
Overland Park, KS 66207
Phone (816) 524-5522

4820 College Blvd
Ste B
Overland Park, KS 66211
Phone (913) 379-7530

4820 College Blvd
Overland Park, KS 66211
Phone (913) 379-7530

5701 W 119th St
Ste 220
Overland Park, KS 66209
Phone (816) 524-5522

6815 Frontage Rd
Ste B
Overland Park, KS 66204
Phone (816) 875-2604

4801 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-6451

1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695

290 NE Tudor Rd
Lees Summit, MO 64086
Phone (816) 524-3280

4880 NE Goodview Cir
Lees Summit, MO 64064
Phone (816) 246-1456

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12752/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/doct-48e85447
  • Direct secure messaging: quintin.cokingtin.1@12752.direct.athenahealth.com
  • Direct secure messaging: qcokingtin461198@direct.saint-lukes.org

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1023089349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-524-5522",
            "fax_number": "816-875-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKINGTIN",
        "first_name": "QUINTIN",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "R9G23",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "04-24934",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MO",
            "license": "R9G23",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "R9G23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200374620A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203298401",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "quintin.cokingtin.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address to Receive Summary of Care Documents",
            "address_1": "290 NE Tudor Rd",
            "address_2": "Metropolitan Pumonary and Hospital Medicine",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640865696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.