NPIMap

Individual provider Active NPI

Varaporn Treemaneekarn, D.O.

  • Internal Medicine Physician
  • North Kansas City, MO
National Provider Identifier
1053607192
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2014022608 Issued in MO
Practice address
2700 Clay Edwards Dr
Suite 400
North Kansas City, MO 64116-3251
Phone
(816) 421-4240
Fax
(816) 421-5015
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101019471 MI
Internal Medicine Physician 207R00000X 2014022608 MO Primary

Addresses

Primary practice location

2700 Clay Edwards Dr
Suite 400
North Kansas City, MO 64116-3251

Mailing address

2700 Clay Edwards Dr
Suite 400
North Kansas City, MO 64116-3251
Phone (816) 421-4240

Other identifiers 1

IdentifierTypeStateIssuer
1053607192MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141117001086 MO Practitioner - Internal Medicine 1658593181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2700 Clay Edwards Dr
Suite 400
North Kansas City, MO 64116-3270
Phone (816) 421-4240

Hospital & facility affiliations

  • North Kansas City Hospital Home Health Services Home health agency, North Kansas City, MO, CCN 267462
  • Centerwell Home Health Home health agency, Overland Park, KS, CCN 177179
  • Interim Healthcare of Kansas City Home health agency, Overland Park, KS, CCN 177087
  • Visiting Nurse Association Home health agency, Kansas City, MO, CCN 267002
  • Amedisys Home Health of Missouri Home health agency, Lees Summit, MO, CCN 267623
  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019471MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation CurrentSince Oct 6, 2014 Accepting new patients
Meritas Health Corporation Internal Medicine CurrentSince Oct 6, 2014 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

9411 N Oak Trfy
Ste 260
Kansas City, MO 64155
Phone (816) 453-4000

2700 Clay Edwards Dr
Ste 400
North Kansas City, MO 64116
Phone (816) 421-4240

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1053607192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR",
            "address_2": "SUITE 400",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163251",
            "telephone_number": "816-421-4240",
            "fax_number": "816-421-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR",
            "address_2": "SUITE 400",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163251",
            "telephone_number": "816-421-4240",
            "fax_number": "816-421-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREEMANEEKARN",
        "first_name": "VARAPORN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101019471",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014022608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053607192",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.