Individual provider Active NPI

Ryan Jimel Stokes, M.D.

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1073909966
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018009504 Issued in MO
Practice address
2340 E Meyer Blvd BLDG 1
Kansas City, MO 64132-1105
Phone
(816) 753-5144
Fax
(855) 737-0585
NPI assigned
Apr 8, 2015
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018009504 MO Primary

Addresses

Primary practice location

2340 E Meyer Blvd BLDG 1
Kansas City, MO 64132-1105

Mailing address

3515 Broadway Blvd
Kansas City, MO 64111-2501
Phone (816) 753-5144

Other practice location 1

4601 Independence Ave
Kansas City, MO 64124-2927
Phone (816) 753-5144

Other practice location 2

3515 Broadway Blvd
Kansas City, MO 64111-2501
Phone (816) 753-5144

Other identifiers 1

IdentifierTypeStateIssuer
2018009504OtherMOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180731001512 MO Practitioner - Family Practice 2961704861 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018009504MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Care Clinic CurrentSince Mar 12, 2024 Accepting new patients
Kansas City Care Clinic CurrentSince Jul 1, 2023 Accepting new patients
Kansas City Care Clinic CurrentSince Jul 1, 2023 Accepting new patients

Locations

2340 E Meyer Blvd
Ste 200
Kansas City, MO 64132
Phone (802) 851-8603

3501 Broadway Blvd
Kansas City, MO 64111
Phone (816) 753-5144

3515 Broadway Blvd
Kansas City, MO 64111
Phone (816) 753-5144

4601 Independence Ave
Kansas City, MO 64124
Phone (816) 241-6334

Organizations & group practices 3

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1073909966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112501",
            "telephone_number": "816-753-5144",
            "fax_number": "855-737-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD BLDG 1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321105",
            "telephone_number": "816-753-5144",
            "fax_number": "855-737-0585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Independence Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641242927",
            "country_code": "US",
            "telephone_number": "816-753-5144",
            "fax_number": "855-737-0585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641112501",
            "country_code": "US",
            "telephone_number": "816-753-5144",
            "fax_number": "855-737-0585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES",
        "first_name": "RYAN",
        "middle_name": "JIMEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018009504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2018009504",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.