NPIMap

Individual provider Active NPI

Michael Joseph Liston, MD

  • Cardiovascular Disease Physician
  • Blue Springs, MO
National Provider Identifier
1093735557
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
112445 Issued in MO
Practice address
203 NW R D Mize Rd
Suite 200
Blue Springs, MO 64014-2510
Phone
(816) 220-1117
Fax
(816) 228-2053
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 112445 MO
Cardiovascular Disease Physician 207RC0000X 112445 MO Primary

Addresses

Primary practice location

203 NW R D Mize Rd
Suite 200
Blue Springs, MO 64014-2510

Mailing address

203 NW Rd Mize Rd Ste 200
Blue Springs, MO 64014
Phone (816) 220-1117

Other practice location 1

3200 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 525-1600

Other identifiers 2

IdentifierTypeStateIssuer
P00853584OtherMOMEDICARE RAILROAD
1093735557MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000535 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 7810954773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Kansas City - Physician Services LLCGroup PAC ID 7315267325, 71 clinicians

Practice addresses (Care Compare)

203 NW R D Mize Rd
Suite 200
Blue Springs, MO 64014-2546
Phone (816) 220-1117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as group
Quality
61.06
Promoting interoperability
99
Improvement activities
40
Cost
74.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting35
Pacemaker insertion or repair18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112445MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Telemedico Physicians of Missouri Cardiovascular Disease CurrentSince Sep 1, 2018 Accepting new patients
Telemedico Physicians SC Cardiovascular Disease CurrentSince Jan 14, 2018 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC Cardiovascular Disease CurrentSince Mar 1, 2015 Accepting new patients
Prime Healthcare Physician Services - Providence Inc Cardiovascular Disease Past Accepting new patients
St. Mary's Medical Center Past Accepting new patients
Msmancina Associates Arizona, PLLC Cardiovascular Disease Past Accepting new patients
Prime Healthcare Physician Services - Providence Inc PastSince Sep 20, 2020 Accepting new patients
Michael S Mancina, MD & Associates, PA Cardiovascular Disease Past Accepting new patients

Locations

3550 S 4th St
Ste 100
Leavenworth, KS 66048
Phone (913) 651-3111

203 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (816) 220-1117

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

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

615 Rancho Ln
Florissant, MO 63031
Phone (314) 837-4438

4600 Little Blue Pkwy
Independence, MO 64057
Phone (816) 795-7888

221 Bolivar St
Jefferson Cty, MO 65101
Phone 56129936671572

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485

1000 Carondelet Dr
Ofc
Kansas City, MO 64114
Phone (816) 943-7604

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

3200 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 525-1600

430 N West St
Perryville, MO 63775
Phone (273) 547-1011

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

Organizations & group practices 8

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 8

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1093735557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NW RD MIZE RD STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-220-1117",
            "fax_number": "816-228-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NW R D MIZE RD",
            "address_2": "SUITE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142510",
            "telephone_number": "816-220-1117",
            "fax_number": "816-228-2053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 NE Ralph Powell Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "64064",
            "country_code": "US",
            "telephone_number": "816-525-1600",
            "fax_number": "816-525-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISTON",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "112445",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "112445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00853584",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093735557",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.