Individual provider Active NPI

Michael J Waxman, MD

  • Pulmonary Disease Physician
  • Kansas City, MO
National Provider Identifier
1093773095
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R1E71 Issued in MO
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

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100206310 BMedicaidKS
100206310DMedicaidKS
100206310 CMedicaidKS
100206310AMedicaidKS
202423208MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000711 MO Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 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 ServicesGroup PAC ID 7113380833, 11 clinicians
Missouri Intensivist Services LLCGroup PAC ID 7719414986, 21 clinicians

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 Hospital, Independence, MO, CCN 260095
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0417387KSMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P & C Consultant Services Pulmonary Disease CurrentSince Jul 9, 2023 Accepting new patients
P&C Healthcare LLC CurrentSince Nov 15, 2021 Accepting new patients
Missouri Intensivist Services LLC CurrentSince Jan 1, 2025 Accepting new patients
Dunn Physician Services, LLC CurrentSince Nov 1, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.