Individual provider Active NPI

John Maxwell Pike Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
National Provider Identifier
1093159782
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2018010220 Issued in MO
Practice address
9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone
(913) 396-8509
Fax
(913) 318-8378
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2018010220 MO Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 04-39646 KS

Addresses

Primary practice location

9705 Lenexa Dr
Lenexa, KS 66215-1345

Mailing address

9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone (913) 396-8509

Other practice location 1

3901 Rainbow Blvd
Ms 3405
Kansas City, KS 66160-8500
Phone (913) 588-7076

Other identifiers 3

IdentifierTypeStateIssuer
200049928MedicaidMO
201261260AMedicaidOK
30004601970002MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190103002140 MO Practitioner - Pathology 1759688724 Reassigns benefits to 2 organizations
I20190103002750 KS Practitioner - Pathology 1759688724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of North Carolina at Chapel Hill School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mawd Pathology Group IncGroup PAC ID 2668421389, 38 clinicians
Mawd Pathologists LLCGroup PAC ID 5193102028, 28 clinicians

Practice addresses (Care Compare)

1301 S Main St
Adventhealth Ottawa Lab
Ottawa, KS 66067-3537
Phone (913) 396-8509

2800 Clay Edwards Dr
North Kansas City Hospital
Kansas City, MO 64116-3220
Phone (913) 396-8509

9100 W 74TH St
Adventhealth Shawnee Mission
Shawnee Mission, KS 66204-4004
Phone (913) 396-8509

9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone (913) 396-8509

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-39646KSMDAnatomic Pathology & Clinical Pathology Physician
2018010220MOMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creekwood Surgery Center, LP Current Accepting new patients
Mawd Pathology Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Nov 26, 2018 Accepting new patients
Mawd Laboratory Partners PA Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations (25 of 30)

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

3901 Rainbow Blvd
#3405
Kansas City, KS 66160
Phone (913) 588-1189

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

9705 Lenexa Dr
Lenexa, KS 66215
Phone (913) 361-8528

11070 Strang Line Rd
Lenexa, KS 66215

2600 Ottawa Rd
Neodesha, KS 66757
Phone (620) 325-2611

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

7820 W 165th St
Overland Park, KS 66223
Phone (913) 232-9846

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

4150 N Mulberry Dr
Kansas City, MO 64116
Phone (816) 214-4364

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1093159782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 LENEXA DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151345",
            "telephone_number": "913-396-8509",
            "fax_number": "913-318-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 LENEXA DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151345",
            "telephone_number": "913-396-8509",
            "fax_number": "913-318-8378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Rainbow Blvd",
            "address_2": "MS 3405",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661608500",
            "country_code": "US",
            "telephone_number": "913-588-7076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIKE",
        "first_name": "JOHN",
        "middle_name": "MAXWELL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2018010220",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "04-39646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200049928",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201261260A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004601970002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.