Individual provider Active NPI

Brian Peter Mieczkowski, D.O.

  • Pulmonary Disease Physician
  • Kansas City, MO
National Provider Identifier
1114126943
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2014007846 Issued in MO
Practice address
6420 Prospect Ave
Suite T303
Kansas City, MO 64132-4147
Phone
(816) 333-1919
Fax
(816) 333-2614
NPI assigned
Jul 12, 2007
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 3571 M31 CT
Internal Medicine Physician 207R00000X 34.009866 OH
Internal Medicine Physician 207R00000X 2009-01056 NC
Pulmonary Disease Physician 207RP1001X 2014007846 MO Primary

Addresses

Primary practice location

6420 Prospect Ave
Suite T303
Kansas City, MO 64132-4147

Mailing address

6420 Prospect Ave
Suite T303
Kansas City, MO 64132-4147
Phone (816) 333-1919

Other identifiers 1

IdentifierTypeStateIssuer
1114126943MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRIAN.MIECZKOWSKI@hca2.eclinicaldirectplus.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625001015 MO Practitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7214080175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Pulmonology Practice LLCGroup PAC ID 0042210502, 6 clinicians

Practice addresses (Care Compare)

1500 State St
Lexington, MO 64067-1107
Phone (660) 259-2203

17053 S Outer Rd
Belton Regional Medical Center
Belton, MO 64012-2165
Phone (816) 348-1200

17065 S Outer Rd
Belton Regional Medical Center
Belton, MO 64012-2165
Phone (816) 348-1200

17067 E Outer Rd
Suite 200
Belton, MO 64012-2100
Phone (816) 333-1919

2000 SE Blue Pkwy
Suite 210
Lees Summit, MO 64063-1042
Phone (816) 333-1919

2000 SE Blue Pkwy
Suite 270a
Lees Summit, MO 64063-1029
Phone (816) 333-1919

2100 SE Blue Pkwy
Lee's Summit, MO 64063-1007
Phone (816) 282-5000

2316 E Meyer Blvd
Kansas City, MO 64132-1136

2330 E Meyer Blvd
Suite 303
Kansas City, MO 64132-1152
Phone (816) 333-1919

2800 E Rock Haven Rd
Cass Regional Medical Center
Harrisonville, MO 64701-4411
Phone (816) 887-0793

2820 E Rock Haven Rd
Cass Regional Medical Center
Harrisonville, MO 64701-4411
Phone (816) 380-2446

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009866OHMDInternal Medicine Physician
2014007846MOMDPulmonary Disease Physician
3571 M31CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Pulmonology Practice, LLC Pulmonary Disease CurrentSince Jul 1, 2014 Accepting new patients
Kansas City Pulmonary Clinic PA Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
RMC HBP, LLC Pulmonary Disease Past Accepting new patients
Fryecare Physicians , LLC Pulmonary Disease Past Accepting new patients

Locations

17067 S Outer Rd
Ste 200
Belton, MO 64012
Phone (816) 348-4270

2820 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-2446

2820 E Rock Haven Rd
Ste 200
Harrisonville, MO 64701
Phone (816) 333-5005

2330 E Meyer Blvd
Ste 303
Kansas City, MO 64132
Phone (816) 333-2614

600 NW Murray Rd
Ste 210
Lees Summit, MO 64081
Phone (816) 524-2626

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

Interoperability endpoints

  • Direct secure messaging: brian.mieczkowski@hca2.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1114126943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 PROSPECT AVE",
            "address_2": "SUITE T303",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324147",
            "telephone_number": "816-333-1919",
            "fax_number": "816-333-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 PROSPECT AVE",
            "address_2": "SUITE T303",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324147",
            "telephone_number": "816-333-1919",
            "fax_number": "816-333-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIECZKOWSKI",
        "first_name": "BRIAN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "3571 M31",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.009866",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2009-01056",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2014007846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114126943",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRIAN.MIECZKOWSKI@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6420 Prospect Ave",
            "address_2": "SUITE T303",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641324147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.