Individual provider Active NPI

Melisa G Boersma, MD

  • Radiation Oncology Physician
  • Kansas City, MO
National Provider Identifier
1104048933
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2019033211 Issued in MO
Practice address
8700 N Green Hills Rd
Kansas City, MO 64154
Phone
(913) 574-2520
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2019033211 MO Primary

Addresses

Primary practice location

8700 N Green Hills Rd
Kansas City, MO 64154

Mailing address

8700 N Green Hills Rd
Kansas City, MO 64154-1910
Phone (913) 574-2520

Other identifiers 1

IdentifierTypeStateIssuer
200123050AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MO, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070927000777 OK Practitioner - Radiation Oncology 9436244084
I20191116000422 MO Practitioner - Radiation Oncology 9436244084 Reassigns benefits to 2 organizations
I20191116000434 KS Practitioner - Radiation Oncology 9436244084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians
University of Kansas Hospital AuthorityGroup PAC ID 9436054798, 243 clinicians

Practice addresses (Care Compare)

2750 Clay Edwards Dr
Suite 10
North Kansas City, MO 64116-3257
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

8700 N Green Hiils Rd
Kansas City, MO 64154-1910
Phone (913) 588-1227

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019033211MOMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Oct 8, 2019 Accepting new patients
Topeka Physician Group, LLC CurrentSince May 1, 2020 Accepting new patients
Olathe Health Physicians, Inc. Current Accepting new patients
Kansas University Physicians Inc Radiation Oncology Current Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Radiation Oncology CurrentSince Oct 8, 2019 Accepting new patients
University of Kansas Hospital Authority CurrentSince Oct 8, 2019 Accepting new patients
Olathe Health Physicians, Inc. Radiation Oncology CurrentSince Oct 14, 2023 Accepting new patients
University of Kansas Hospital Authority CurrentSince Oct 8, 2019 Accepting new patients
Topeka Physician Group, LLC CurrentSince May 1, 2020 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince Oct 14, 2023 Accepting new patients
Oklahoma Sleep Institute LLC Past Accepting new patients
Radiation Oncology Consultants Inc Radiation Oncology Past Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111

15123 S Omc Pkwy
Olathe, KS 66061
Phone (913) 355-8000

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

1700 SW 7th St
Fl 2
Topeka, KS 66606
Phone (785) 295-7800

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

2750 Clay Edwards Dr
Ste 10
North Kansas City, MO 64116
Phone (816) 691-5216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13821/brand/2/csg/1/fhir/r4
  • Direct secure messaging: mboersma624081@direct.kuha.org
  • Direct secure messaging: mboersma289246@ahs.direct-ci.com

Organizations & group practices 24

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.

View all 24

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1104048933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 N GREEN HILLS RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541910",
            "telephone_number": "913-574-2520",
            "fax_number": "913-574-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 N GREEN HILLS RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64154",
            "telephone_number": "913-574-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERSMA",
        "first_name": "MELISA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2019033211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200123050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.