Active NPI
Bruce J Aistrup, M.D.
- Anesthesiology Physician
- Shawnee Mission, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 04-24474
- Practice address
- 9100 W 74TH St
Shawnee Mission, KS 66204-4004 - Phone
- (913) 632-2230
- Fax
- (913) 632-2297
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Medicine Physicians of Colorado - Denver PC
Anesthesia Associates of Kansas City PA
USA Health Anesthesia Billing Services LLC
Meritas Health Corporation
Practice addresses (Care Compare)
1375 E 19TH Ave
Saint Joseph Hospital
Denver, CO 80218-1114
Phone (303) 812-6400
17065 S 71 Hwy
Belton Regional Medical Center
Belton, MO 64012-2165
Phone (816) 348-1200
2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000
2700 Clay Edwards Dr
Suite 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021
6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-1000
Hospital & facility affiliations
- USA Health University Hospital
- Lee'S Summit Medical Center
- NKC Health
- USA Health HCA Providence Hospital, LLC
- USA Health Children'S & Women'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in CO, LA, MO, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220628000135 | CO | Practitioner - Anesthesiology | 3779627211 | Reassigns benefits to 2 organizations |
| I20240111001183 | LA | Practitioner - Anesthesiology | 3779627211 | Reassigns benefits to 1 organization |
| I20240208002213 | MO | Practitioner - Anesthesiology | 3779627211 | Reassigns benefits to 3 organizations |
| I20240810000350 | AL | Practitioner - Anesthesiology | 3779627211 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-24474 | KS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Anesthesiology | Current |
Accepting new patients |
| Meritas Health Corporation | Anesthesiology | Current |
Accepting new patients |
| Meritas Health Corporation | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc. | Anesthesiology | Current |
Accepting new patients |
| Hospitalist Medicine Physicians of Colorado - Denver PC | Anesthesiology | Current |
Accepting new patients |
| USA Health Anesthesia Billing Services, LLC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Associates of Kansas City PA | Anesthesiology | Current |
Accepting new patients |
| Capital Anesthesia Solutions of Missouri, LLC | Anesthesiology | Current |
Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Anesthesiology | Current |
Accepting new patients |
| Meritas Health Corporation | Current |
Accepting new patients | |
| Midwest Heart & Vascular Specialists, LLC | Past |
Accepting new patients | |
| Lafayette Health Ventures, Inc | Past | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients |
Locations
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 04-24474 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Mailing address
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2679
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100380810A | Medicaid | KS | |
| 50076528 | Other | KS | RAILROAD MEDICARE |
| 205720519 | Medicaid | MO |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2020.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1083680441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 W 74TH ST",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662044004",
"telephone_number": "913-676-2679",
"fax_number": "913-789-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 W 74TH ST",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662044004",
"telephone_number": "913-632-2230",
"fax_number": "913-632-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AISTRUP",
"first_name": "BRUCE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KS",
"license": "04-24474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100380810A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "50076528",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205720519",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.