Individual provider Active NPI

Bertram W Maidment III, MD

  • Radiation Oncology Physician
  • Kansas City, MO
National Provider Identifier
1043579410
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2017014181 Issued in MO
Practice address
6601 Winchester Ave Ste 230
Kansas City, MO 64133-4681
Phone
(816) 313-2677
Fax
(816) 313-6000
NPI assigned
May 4, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 04-39979 KS
Radiation Oncology Physician 2085R0001X 2017014181 MO Primary

Addresses

Primary practice location

6601 Winchester Ave Ste 230
Kansas City, MO 64133-4681

Mailing address

6601 Winchester Ave Ste 230
Kansas City, MO 64133-4681
Phone (816) 313-2677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170616002185 KS Practitioner - Radiation Oncology 8022247857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Maryland School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

12200 W 110TH St
Overland Park, KS 66210-4045
Phone (913) 588-1227

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 588-1227

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017014181MOMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Radiation Oncology Current Accepting new patients
Olathe Health Physicians, Inc. Current Accepting new patients
Topeka Physician Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Topeka Physician Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

15123 S Omc Pkwy
Olathe, KS 66061
Phone (913) 355-8000

20375 W 151st St
Ste 180
Olathe, KS 66061
Phone (913) 768-7200

20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

Organizations & group practices 5

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 4

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043579410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 WINCHESTER AVE STE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334681",
            "telephone_number": "816-313-2677",
            "fax_number": "816-313-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 WINCHESTER AVE STE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334681",
            "telephone_number": "816-313-2677",
            "fax_number": "816-313-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDMENT",
        "first_name": "BERTRAM",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-39979",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2017014181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.