Individual provider Active NPI

John N Vani, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Moberly, MO
National Provider Identifier
1083727077
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
04-30631 Issued in KS
Practice address
1513 Union Ave Ste 1500
Moberly, MO 65270-9408
Phone
(660) 263-0524
Fax
(660) 263-0595
NPI assigned
Aug 16, 2006
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0430631 KS
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 04-30631 KS Primary

Addresses

Primary practice location

1513 Union Ave Ste 1500
Moberly, MO 65270-9408

Mailing address

1513 Union Ave Ste 1500
Moberly, MO 65270-9408
Phone (660) 263-0524

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.vani.1@2622.direct.athenahealth.com

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
I20220516000429 MO Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 6204880990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moberly Medical Clinics IncGroup PAC ID 8426031592, 11 clinicians

Practice addresses (Care Compare)

1513 Union Ave
Suite 1500
Moberly, MO 65270-9408
Phone (660) 269-2925

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30631KSMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moberly Medical Clinics Inc CurrentSince Jan 3, 2023 Accepting new patients
Western Missouri Medical Center CurrentSince Apr 1, 2022 Accepting new patients
Western Missouri Medical Center CurrentSince Apr 1, 2022 Accepting new patients
Moberly Medical Clinics Inc CurrentSince Jan 3, 2023 Accepting new patients
Leavenworth Bone and Joint Surgery Center, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

1513 Union Ave
Ste 1500
Moberly, MO 65270
Phone (660) 263-0524

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

407 Burkarth Rd
Ste 201
Warrensburg, MO 64093
Phone (660) 201-2228

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

Interoperability endpoints

  • Direct secure messaging: john.vani.1@2622.direct.athenahealth.com

Organizations & group practices 5

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 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1083727077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 UNION AVE STE 1500",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709408",
            "telephone_number": "660-263-0524",
            "fax_number": "660-263-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 UNION AVE STE 1500",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709408",
            "telephone_number": "660-263-0524",
            "fax_number": "660-263-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANI",
        "first_name": "JOHN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "0430631",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KS",
            "license": "04-30631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.vani.1@2622.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1513 Union Ave Ste 1500",
            "city": "Moberly",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652709408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.