Active NPI
Brian Peter Mieczkowski, D.O.
- Pulmonary Disease Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2014007846
- 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, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114126943 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34.009866 | OH | MD | Internal Medicine Physician |
| 2014007846 | MO | MD | Pulmonary Disease Physician |
| 3571 M31 | CT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City Pulmonology Practice, LLC | Pulmonary Disease | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Kansas City, MO
- NPI 1134208150
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1295792224
-
dba dba: RMC Pulmonary Physicians
- Pulmonary Disease Physician
- Kansas City, MO
- NPI 1508855602
-
- Pulmonary Disease Physician
- Hickory, NC
- NPI 1659774503
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Harrisonville, MO
- NPI 1477535326
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
dba Lee's Summit Medical Center
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1225085871
-
dba Belton Regional Medical Center
- General Acute Care Hospital
- Belton, MO
- NPI 1063470763
-
dba Research Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.