Individual provider Active NPI

Timothy Dewayne Stebbins, M.D.

  • Emergency Medicine Physician
  • Kansas City, MO
National Provider Identifier
1053530675
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2009011514 Issued in MO
Practice address
Umkc School of Medicine Residency Program, M1-210
2411 Holmes Street
Kansas City, MO 64108-2792
Phone
(816) 235-6626
Fax
(816) 235-6629
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2009011514 MO Primary

Addresses

Primary practice location

Umkc School of Medicine Residency Program, M1-210
2411 Holmes Street
Kansas City, MO 64108-2792

Mailing address

744 N Clinton St
Olathe, KS 66061-2409
Phone (913) 522-5189

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
I20100629000308 KS Practitioner - Emergency Medicine 4183755564 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009011514MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Kansas, LLC Emergency Medicine CurrentSince Aug 14, 2020 Accepting new patients

Locations

401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

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

Interoperability endpoints

  • Direct secure messaging: tstebbins558748@ahs.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1053530675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 N CLINTON ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612409",
            "telephone_number": "913-522-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM, M1-210",
            "address_2": "2411 HOLMES STREET",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082792",
            "telephone_number": "816-235-6626",
            "fax_number": "816-235-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "TIMOTHY",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2009011514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.