Active NPI
Gwendolyn Arnett, MD
- Diagnostic Radiology Physician
- Kansas City, MO
National Provider Identifier
1083610539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R5C04
- Practice address
- 4321 Washington St
Ste 1000
Kansas City, MO 64111-5961 - Phone
- (816) 932-2307
- NPI assigned
- Jun 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0418805 | KS | |
| Body Imaging Physician | 2085B0100X | R5C04 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | R5C04 | MO | Primary |
Addresses
Primary practice location
4321 Washington St
Ste 1000
Kansas City, MO 64111-5961
Mailing address
PO Box 504407
Saint Louis, MO 63150-4407
Phone (816) 932-7940
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100153570B | Medicaid | KS | |
| P00152870 | Other | KS | RR MEDICARE |
| 2050520001 | Medicaid | KS | |
| 300089670 | Other | MO | RR MEDICARE |
| P00152851 | Other | MO | RR MEDICARE |
| 202351714 | Medicaid | MO | |
| 202351772 | Medicaid | MO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0418805 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Radiology, PA | Diagnostic Radiology | Past | Accepting new patients |
| Medical Plaza Imaging Associates, LLC | Body Imaging | Past | Accepting new patients |
| Western Missouri Radiological Group Inc | Body Imaging | Past | Accepting new patients |
| Encompass Medical Group, PA | Body Imaging | Past | Accepting new patients |
| Slci Physician Services, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Northland Imaging, LLC | 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.
-
- Diagnostic Radiology Physician
- Kansas City, MO
- NPI 1356418156
Body Imaging
-
- Radiology Clinic/Center
- Kansas City, MO
- NPI 1851441505
-
- Diagnostic Radiology Physician
- Kansas City, MO
- NPI 1952575722
-
- Diagnostic Radiology Physician
- Independence, MO
- NPI 1548324643
Body Imaging
-
- Diagnostic Radiology Physician
- Shawnee Mission, KS
- NPI 1467400663
-
- General Practice Physician
- Overland Park, KS
- NPI 1063457299
Body Imaging
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1083610539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504407",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631504407",
"telephone_number": "816-932-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 WASHINGTON ST",
"address_2": "STE 1000",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115961",
"telephone_number": "816-932-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNETT",
"first_name": "GWENDOLYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "0418805",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "MO",
"license": "R5C04",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R5C04",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100153570B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00152870",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2050520001",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300089670",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00152851",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202351714",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202351772",
"state": "MO"
}
],
"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 Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.