Active NPI
Michael J Waxman, MD
- Pulmonary Disease Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- R1E71
- Practice address
- 6420 Prospect Avenue
T303
Kansas City, MO 64132 - Phone
- (816) 333-1919
- Fax
- (816) 361-1930
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | R1E71 | MO | Primary |
| Pulmonary Disease Physician | 207RP1001X | 0417387 | KS |
Addresses
Primary practice location
6420 Prospect Avenue
T303
Kansas City, MO 64132
Mailing address
6420 Prospect Avenue
T303
Kansas City, MO 64132
Phone (816) 333-1919
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100206310 B | Medicaid | KS | |
| 100206310D | Medicaid | KS | |
| 100206310 C | Medicaid | KS | |
| 100206310A | Medicaid | KS | |
| 202423208 | Medicaid | MO |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040910000711 | MO | Practitioner - Hospitalist | 4981671948 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- P and C Consultant ServicesMissouri Intensivist Services LLC
Practice addresses (Care Compare)
19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000
Hospital & facility affiliations
- Centerpoint Medical Center
- Research Medical Center
- Western Missouri Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0417387 | KS | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P & C Consultant Services | Pulmonary Disease | Current | Accepting new patients |
| P&C Healthcare LLC | Current | Accepting new patients | |
| Missouri Intensivist Services LLC | Current | Accepting new patients | |
| Dunn Physician Services, LLC | Current | Accepting new patients | |
| RMC HBP, LLC | Pulmonary Disease | Past | Accepting new patients |
| Centerpoint Medical Center of Independence, LLC | Past | Accepting new patients | |
| Kansas City Pulmonary Clinic PA | Pulmonary Disease | Past | Accepting new patients |
Locations
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2316 E Meyer Blvd
Fl 2
Kansas City, MO 64132
Phone (816) 276-3733
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHAEDD
- michael.waxman@hca2.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Kansas City, MO
- NPI 1770399776
MO
-
- Pulmonary Disease Physician
- Independence, MO
- NPI 1073204673
MO, Pulmonary Disease
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1295792224
Pulmonary Disease
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1093773095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 PROSPECT AVENUE",
"address_2": "T303",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64132",
"telephone_number": "816-333-1919",
"fax_number": "816-361-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 PROSPECT AVENUE",
"address_2": "T303",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64132",
"telephone_number": "816-333-1919",
"fax_number": "816-361-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAXMAN",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "R1E71",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KS",
"license": "0417387",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100206310 B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100206310D",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100206310 C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100206310A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202423208",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.