Individual provider Active NPI

Colby Perkins Souders

  • Urology Physician
  • Kansas City, KS
National Provider Identifier
1083155592
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A147198 Issued in CA
Practice address
4000 Cambridge St
Kansas City, KS 66160-5901
Phone
(913) 558-0047
NPI assigned
Mar 16, 2017
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A147198 CA Primary

Addresses

Primary practice location

4000 Cambridge St
Kansas City, KS 66160-5901

Mailing address

4000 Cambridge St # Ms 1360
Kansas City, KS 66160-8501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200715001196 TX Practitioner - Urology 7315360997 Reassigns benefits to 1 organization
I20221011002069 KS Practitioner - UrologyPractitioner - Plastic and Reconstructive Surgery 7315360997 Reassigns benefits to 2 organizations
I20221116000627 MO Practitioner - Urology 7315360997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

1608 E Evergreen St
Suite a
Cameron, MO 64429-2400
Phone (816) 632-5424

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.28 of 100Reported as group
Quality
38.51
Improvement activities
40
Cost
70.39

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147198CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Urology CurrentSince Sep 22, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Urology CurrentSince Aug 1, 2020 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 1, 2020 Accepting new patients
Kansas University Physicians Inc CurrentSince Sep 22, 2022 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Olathe Health Physicians, Inc. Current Accepting new patients
University Health Physicians Urology CurrentSince Nov 11, 2022 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Nov 7, 2022 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Nov 7, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients

Locations

2000 Olathe
Kansas City, KS 66160
Phone (913) 588-1908

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

4000 Cambridge St
#1360
Kansas City, KS 66160

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

20375 W 151st St
Ste 301
Olathe, KS 66061
Phone (913) 390-8050

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1600 E Evergreen St
Ste C
Cameron, MO 64429
Phone (816) 632-2139

1608 E Evergreen St
Ste A
Cameron, MO 64429
Phone (816) 632-3945

2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072

2101 Charlotte St
#3016
Kansas City, MO 64108

2301 Holmes St
Kansas City, MO 64108

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

1500 S Main St
Fl 2
Ft Worth, TX 76104
Phone (817) 702-3000

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

2001 Inwood Rd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-8000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: csouders1647369@direct.texashealth.org
  • Direct secure messaging: csouders701156@direct.kuha.org

Organizations & group practices 12

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 8

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": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1083155592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST # MS 1360",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661605901",
            "telephone_number": "913-558-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDERS",
        "first_name": "COLBY",
        "middle_name": "PERKINS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A147198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.