Active NPI
Nathan John Kiewiet, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- Kansas City, MO
National Provider Identifier
1043416985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 2013009354
- Practice address
- 2790 Clay Edwards Dr Ste 600
Kansas City, MO 64116-3274 - Phone
- (816) 561-3003
- Fax
- (816) 889-1584
- NPI assigned
- Jun 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 2013009354 | MO | Primary |
Addresses
Primary practice location
2790 Clay Edwards Dr Ste 600
Kansas City, MO 64116-3274
Mailing address
19550 E. 39TH St
Ste 410
Independence, MO 64057
Phone (816) 303-2400
Other practice location 1
2790 Clay Edwards Dr Ste 600
Kansas City, MO 64116-3274
Phone (816) 561-3003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013009354 | Other | MO | MISSOURI LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10900 W 86TH St
Lenexa, KS 66214-1634
Phone (816) 561-3003
1950 Diamond Pkwy
Suite 100
North Kansas City, MO 64116-4329
19550 W 39TH St
Suite 410
Independence, MO 64057-0001
Phone (816) 303-2400
Hospital & facility affiliations
- NKC Health
- Centerpoint Medical Center
- Adventhealth Shawnee Mission
- Liberty Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013009354 | MO | MD | Orthopaedic Foot and Ankle Surgery Physician |
Interoperability endpoints
- orthopedichealthofkansascity.nathankiewiet@151220.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- North Kansas City, MO
- NPI 1336188242
KS
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1548001464
-
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
-
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1043416985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19550 E. 39TH ST",
"address_2": "STE 410",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "64057",
"telephone_number": "816-303-2400",
"fax_number": "816-303-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 CLAY EDWARDS DR STE 600",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641163274",
"telephone_number": "816-561-3003",
"fax_number": "816-889-1584"
}
],
"practiceLocations": [
{
"address_1": "2790 Clay Edwards Dr Ste 600",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641163274",
"country_code": "US",
"telephone_number": "816-561-3003",
"fax_number": "816-889-1584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIEWIET",
"first_name": "NATHAN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "MO",
"license": "2013009354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI LICENSE",
"identifier": "2013009354",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.