Individual provider Active NPI

Michael James Mercurio, DO

  • Family Medicine Physician
  • Grandview, MO
National Provider Identifier
1114669892
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2025024001 Issued in MO
Practice address
7201 E 147TH St
Grandview, MO 64030-4204
Phone
(816) 348-2260
Fax
(913) 495-3751
NPI assigned
Apr 12, 2022
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2025024001 MO Primary

Addresses

Primary practice location

7201 E 147TH St
Grandview, MO 64030-4204

Mailing address

8550 Marshall Dr Ste 220
Lenexa, KS 66214-9836
Phone (816) 334-8226

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals_hmc@encompass.direct-ci.net Direct

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
I20250721000187 MO Practitioner - Family Practice 8426432451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability KCGroup PAC ID 0143116368, 166 clinicians
Encompass Medical Group PAGroup PAC ID 0143116053, 44 clinicians

Practice addresses (Care Compare)

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

7201 E 147TH St
Grandview, MO 64030-4206
Phone (816) 348-2260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Medical Group, PA Family Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

8550 Marshall Dr
Ste 220
Overland Park, KS 66214
Phone (816) 942-8200

7201 E 147th St
Grandview, MO 64030
Phone (816) 348-2260

373 W 101st Ter
Kansas City, MO 64114
Phone (816) 941-1400

Interoperability endpoints

  • Direct secure messaging: hickmanmillsoffice@1223.direct.myezyaccess.com

Organizations & group practices 2

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 6

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1114669892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR STE 220",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662149836",
            "telephone_number": "816-334-8226",
            "fax_number": "913-495-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 E 147TH ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640304204",
            "telephone_number": "816-348-2260",
            "fax_number": "913-495-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIO",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2025024001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals_hmc@encompass.direct-ci.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7201 E 147th St",
            "city": "Grandview",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640304204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grandview, MO

Sources for this page

Verify at the official NPI Registry.