Individual provider Active NPI

Adam P Misasi, MD

  • Surgery Physician
  • Leavenworth, KS
National Provider Identifier
1063707438
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7644 Issued in KS
Practice address
3550 S 4TH St Ste 115
Leavenworth, KS 66048-5061
Phone
(913) 334-6800
Fax
(913) 334-0875
NPI assigned
Jun 14, 2011
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2022039071 MO
Surgery Physician 208600000X 7644 KS Primary

Addresses

Primary practice location

3550 S 4TH St Ste 115
Leavenworth, KS 66048-5061

Mailing address

4801 College Blvd
Leawood, KS 66211-1628
Phone (816) 478-4200

Other practice location 1

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 942-4400

Other practice location 2

4013 N Ridge Rd
Ste. 210
Wichita, KS 67205-8857
Phone (316) 945-7309

Other practice location 3

4801 College Blvd
Overland Park, KS 66211-1628
Phone (816) 478-4200

Other practice location 4

8919 Parallel Pkwy Ste 206
Kansas City, KS 66112-1655
Phone (913) 334-6800

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address adam.misasi.1@12752.direct.athenahealth.com Direct
Direct Messaging Address adam.misasi.1@12752.direct.athenahealth.com Direct
Direct Messaging Address adam.misasi.1@12752.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160719001799 KS Practitioner - General Surgery 7113175050 Reassigns benefits to 2 organizations
I20250327003855 MO Practitioner - General Surgery 7113175050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Kansas City - Physician Services LLCGroup PAC ID 7315267325, 71 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-4758

3550 S 4TH St
115 PMG Multispecialty Clinic
Leavenworth, KS 66048-5085
Phone (913) 334-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
57.94
Promoting interoperability
99
Improvement activities
40
Cost
73.17

Merit-based Incentive Payment System (MIPS)

Final score
75.72 of 100Reported as group
Quality
57.99
Promoting interoperability
100
Improvement activities
40
Cost
61.07

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
72.61
Promoting interoperability
100
Improvement activities
30

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7644KSMDSurgery Physician
2022039071MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc Surgery CurrentSince Jul 1, 2022 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince Aug 15, 2022 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC Surgery CurrentSince Feb 1, 2025 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince Aug 15, 2022 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

8919 Parallel Pkwy
Ste 206
Kansas City, KS 66112
Phone (913) 334-9800

8919 Parallel Pkwy
Ste 270
Kansas City, KS 66112
Phone (913) 321-0522

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

3550 S 4th St
Ste 115
Leavenworth, KS 66048
Phone (913) 596-3940

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

1301 S Main St
Ste 4
Ottawa, KS 66067

4801 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-6451

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

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 6

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1063707438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111628",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S 4TH ST STE 115",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485061",
            "telephone_number": "913-334-6800",
            "fax_number": "913-334-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-942-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4013 N Ridge Rd",
            "address_2": "Ste. 210",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672058857",
            "country_code": "US",
            "telephone_number": "316-945-7309",
            "fax_number": "316-945-9131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111628",
            "country_code": "US",
            "telephone_number": "816-478-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8919 Parallel Pkwy Ste 206",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121655",
            "country_code": "US",
            "telephone_number": "913-334-6800",
            "fax_number": "913-334-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISASI",
        "first_name": "ADAM",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2022039071",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "7644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.misasi.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address to receive summary of care document",
            "address_1": "4801 College Blvd",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.misasi.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address to receive summary of care documents",
            "address_1": "4801 College Blvd",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.misasi.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address to receive Summary of Care Documents",
            "address_1": "4801 College Blvd",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.