Michael Ward Raybould, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MDR7B71 Issued in MO

Practice address

2700 Clay Edwards Dr
Suite 400
North Kansas City, MO 64116-3251

Phone

(816) 421-4240

Fax

(816) 421-5015

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Meritas Health Corporation

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1801875091
  Medicare reassignment NPD
• Meritas Health Corporation

  • Surgery Physician
  • Kansas City, MO
  • NPI 1447576020
  NPD
• Meritas Health Corporation

  • Neurology Physician
  • Kansas City, MO
  • NPI 1669323291
  NPD
• Meritas Health Corporation

  • Neurology Physician
  • North Kansas City, MO
  • NPI 1023439833
  NPD (past)
• State Line Medical Group LLC

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1679529853
  NPD (past)
• B & R Stores Inc

  • Community/Retail Pharmacy
  • Des Moines, IA
  • NPI 1164455218
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1083686273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY",
            "address_2": "SUITE LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-436-7072",
            "fax_number": "816-436-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR",
            "address_2": "SUITE 400",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163251",
            "telephone_number": "816-421-4240",
            "fax_number": "816-421-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBOULD",
        "first_name": "MICHAEL",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MDR7B71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC INDIVIDUAL #",
            "identifier": "09285061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Quinn, PT, DPT
• Quiro Rehab LLC
• Vinay Raja, M.D.
• Brenda S. Rapp, CRNA
• Marlana Michelle Ray, MD
• James P Reardon, M.D.
• Thomas M Reardon, MD
• Hannah Swan Reavis, MD
• Claire Rebholz, MD
• Parker William Redlien, MD

• Internal Medicine Physician in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.