Individual provider Active NPI

Nicholas Monaco, M.D.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1033643572
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-44476 Issued in KS
Practice address
380 Hospital Dr
Suite 430
Macon, GA 31217-8001
Phone
(478) 751-0366
NPI assigned
Apr 11, 2017
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 04-44476 KS Primary

Addresses

Primary practice location

380 Hospital Dr
Suite 430
Macon, GA 31217-8001

Mailing address

380 Hospital Dr
Suite 430
Macon, GA 31217-8001
Phone (478) 751-0366

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
I20210420002057 KS Practitioner - Internal Medicine 7416283999 Reassigns benefits to 1 organization
I20210421002113 MO Practitioner - HospitalistPractitioner - Internal Medicine 7416283999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Hospitalists PAGroup PAC ID 2860635117, 46 clinicians

Practice addresses (Care Compare)

Overland Park, KS 66213
Phone (913) 498-8787

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 498-8787

2100 SE Blue Pkwy
Lee's Summit, MO 64063-1007
Phone (913) 498-8787

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-8787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.27 of 100Reported as group
Quality
44.91
Improvement activities
40
Cost
44.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-44476KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KC Hospitalists, P.a. Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Midwest Division - MMC, LLC Past Accepting new patients

Locations

13725 Metcalf Ave
Overland Park, KS 66223
Phone (913) 308-6866

7400 W 132nd St
Ste 120
Overland Park, KS 66213

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1033643572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR",
            "address_2": "SUITE 430",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178001",
            "telephone_number": "478-751-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR",
            "address_2": "SUITE 430",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178001",
            "telephone_number": "478-751-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-44476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.