Individual provider Active NPI

Adam Grumke, M.D.

  • Pediatrics Physician
  • Lee's Summit, MO
National Provider Identifier
1073975561
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2019024493 Issued in MO
Practice address
3171 NE Carnegie Dr Ste a
Lees Summit, MO 64064
Phone
(816) 525-2800
Fax
(816) 525-4077
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2019024493 MO Primary

Addresses

Primary practice location

3171 NE Carnegie Dr Ste a
Lees Summit, MO 64064

Mailing address

3171 NE Carnegie Dr Ste a
Lees Summit, MO 64064-3226
Phone (816) 525-2800

Other identifiers 1

IdentifierTypeStateIssuer
2500034655OtherMOBNDD

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
I20160726001470 MO Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2163715350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019024493MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Pediatrics, LLC Past Accepting new patients
Children's Mercy-Summit Pediatrics & Adolescent Medicine Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1073975561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 NE CARNEGIE DR STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640643226",
            "telephone_number": "816-525-2800",
            "fax_number": "816-525-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 NE CARNEGIE DR STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-525-2800",
            "fax_number": "816-525-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMKE",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2019024493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "2500034655",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.