NPIMap

Individual provider Active NPI

Bart C Patenaude, MD

  • Otolaryngology Physician
  • Kansas City, MO
National Provider Identifier
1073546578
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
04-32490 Issued in KS
Practice address
15 E 54TH St
Kansas City, MO 64110-2453
Phone
(816) 519-3013
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 04-32490 KS Primary
Otolaryngology Physician 207Y00000X 2008016031 MO
Surgery Physician 208600000X 0432490 KS

Addresses

Primary practice location

15 E 54TH St
Kansas City, MO 64110-2453

Mailing address

15 E 54TH St
Kansas City, MO 64112-2861
Phone (816) 519-3013

Other identifiers 13

IdentifierTypeStateIssuer
210556OtherKSHEALTH PARTNERS OF KANSAS
000OtherKSCENTURY HEALTH SOLUTIONS
000OtherKSPREFERRED HEALTH SYSTEMS
000OtherKSTRICARE
000OtherKSCIGNA
000OtherKSCOVENTRY
000OtherKSHUMANA/CHOICE CARE
000OtherKSINDIAN HEALTH SERVICES
000OtherKSMULTIPLAN
200608340DMedicaidKS
000OtherKSCHILDREN'S MERCY
000OtherKSUNITED HEALTH CARE
1073546578OtherKSBCBS OF KANSAS

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

LicenseStateTypeSpecialty
04-32490KSMDOtolaryngology Physician
2008016031MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic, PA Past Accepting new patients
Kansas Carenow Urgent Care LLC PastSince Jan 1, 2017 Accepting new patients
Topeka Ear, Nose and Throat, P.a. Otolaryngology PastSince Jan 1, 2003 Accepting new patients
Adult Quick Care, LLC Past Accepting new patients
Occupational Medicine of Northwest Missouri, LLC Past Accepting new patients
Topeka Ear, Nose, and Throat,PA Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1073546578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E 54TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122861",
            "telephone_number": "816-519-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E 54TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641102453",
            "telephone_number": "816-519-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATENAUDE",
        "first_name": "BART",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "04-32490",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2008016031",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0432490",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS OF KANSAS",
            "identifier": "210556",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTURY HEALTH SOLUTIONS",
            "identifier": "000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/CHOICE CARE",
            "identifier": "000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIAN HEALTH SERVICES",
            "identifier": "000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "000",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200608340D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MERCY",
            "identifier": "000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "1073546578",
            "state": "KS"
        }
    ],
    "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 Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.