Active NPI
Bertram W Maidment III, MD
- Radiation Oncology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2017014181
- 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, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2017014181 | MO | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Radiation Oncology | Current | Accepting new patients |
| Olathe Health Physicians, Inc. | Current | Accepting new patients | |
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| Topeka Physician Group, LLC | Current | 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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
Radiation Oncology
-
- Family Medicine Physician
- Olathe, KS
- NPI 1598784639
-
- Internal Medicine Physician
- Topeka, KS
- NPI 1770008849
-
dba The University of Kansas Physicians Topeka
- Rural Health Clinic/Center
- Valley Falls, KS
- NPI 1902395262
-
dba KU Internal Medicine
- Internal Medicine Physician
- Kansas City, KS
- NPI 1699811521
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Miami County Medical Center
- General Acute Care Hospital
- Paola, KS
- NPI 1700824398
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.