Active NPI
Gerald Staab, MD
- Diagnostic Radiology Physician
- Kansas City, MO
National Provider Identifier
1053388264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R6101
- Practice address
- 4321 Washington St
Ste 1400
Kansas City, MO 64111-5961 - Phone
- (816) 561-5858
- NPI assigned
- Mar 7, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R6101 | MO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 04-14242 | KS |
Addresses
Primary practice location
4321 Washington St
Ste 1400
Kansas City, MO 64111-5961
Mailing address
11217 Granada LN
Leawood, KS 66211-1770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-14242 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Plaza Imaging Associates, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Midwest Radiology, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Midwest Radiology Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Kansas City, MO
- NPI 1356418156
-
- Specialist
- Kansas City, MO
- NPI 1063458610
-
- Diagnostic Radiology Physician
- Kansas City, MO
- NPI 1528169752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053388264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11217 GRANADA LN",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 WASHINGTON ST",
"address_2": "STE 1400",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115961",
"telephone_number": "816-561-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAAB",
"first_name": "GERALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R6101",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-14242",
"primary": false
}
],
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.