Kelli Jo Andresen, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2008002389 Issued in MO

Practice address

4401 Wornall Rd
Radiology Dept
Kansas City, MO 64111-3220

Phone

(816) 932-2000

NPI assigned

Nov 29, 2005

Last updated

Dec 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

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

Specialty

Diagnostic Radiology

Education

University of Iowa, RJ & L Carver College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• University of KS HLTH System Great Bend Campus Hospital, Great Bend, KS, CCN 170191
• University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016
• LMH Hospital, Lawrence, KS, CCN 170137
• Liberty Hospital Hospital, Liberty, MO, CCN 260177

Merit-based Incentive Payment System (MIPS)

Final score

92.91 of 100Reported as apm

Quality

77.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kandresen621325@direct.kuha.org

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.

• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1003858333

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Kansas University Physicians Inc

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1407637291
  NPD
• Kansas University Physicians Inc

  dba KU Radiology

  • Diagnostic Radiology Physician
  • Kansas City, KS
  • NPI 1689710519
  NPD
• Saint Luke's Hospital Medical Services LLC

  • Diagnostic Radiology Physician
  • Kansas City, MO
  • NPI 1649465808
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New Liberty Hospital Corporation

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1548001464
  Care Compare affiliation
• Lawrence Memorial Hospital

  • General Acute Care Hospital
  • Lawrence, KS
  • NPI 1508883422
  Care Compare affiliation
• Topeka Hospital, LLC

  dba The University of Kansas Health System, St. Francis Campus

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1912423260
  Care Compare affiliation
• Ukhs Great Bend, LLC

  dba The University of Kansas Health System Great Bend Campus

  • General Acute Care Hospital
  • Great Bend, KS
  • NPI 1548750417
  Care Compare affiliation
• University of Kansas Hospital Authority

  dba University of Kansas Hospital / University of Kansas Cancer Center

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  dba The University of Kansas Hospital

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1073597514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-599-9499",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "address_2": "RADIOLOGY DEPT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113220",
            "telephone_number": "816-932-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESEN",
        "first_name": "KELLI",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "36297",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2008002389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073597514",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "37843017",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC GRP# 18959016",
            "identifier": "37843027",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200564680A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "39890",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00475714",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472795",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie D Andes, MA, LPC
• Alyssa Andoyo
• Nevene Andraws, M.D.
• John Daniel Andre, D.C., N.D.
• Lauren Elizabeth Andreas, DDS
• Andrew Otto DMD PC (Otto Family Dental)
• Heather Leigh Andrews, D.O.
• Hilarie Gates Andrews, MA, LPC
• Janet Andrews, WHNP
• Jennifer Rose Andrews, M.D.

• Diagnostic Radiology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.