Individual provider Active NPI

Michael Dahl, MD

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1124013297
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2000156447 Issued in MO
Practice address
6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150
Phone
(816) 363-7710
Fax
(816) 363-8414
NPI assigned
Sep 15, 2005
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-27650 KS
Internal Medicine Physician 207R00000X 2000156447 MO Primary

Addresses

Primary practice location

6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150

Mailing address

6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150
Phone (816) 363-7710

Other identifiers 3

IdentifierTypeStateIssuer
100452630BMedicaidKS
100452630AMedicaidKS
205951809MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHAEL.DAHL@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070425000629 KS Practitioner - Internal Medicine 9739285420 Reassigns benefits to 1 organization
I20120105000841 MO Practitioner - Internal Medicine 9739285420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group of Kansas City LLCGroup PAC ID 8921091455, 11 clinicians

Practice addresses (Care Compare)

600 NW Murray Rd
Suite 210
Lees Summit, MO 64081-1245
Phone (816) 525-9476

6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1167
Phone (816) 363-7710

Hospital & facility affiliations

  • Saint Lukes Home Care Home health agency, Kansas City, MO, CCN 267195
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182

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 Medicine

State licenses

LicenseStateTypeSpecialty
2000156447MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of Kansas City, LLC Internal Medicine CurrentSince Apr 1, 2003 Accepting new patients
Midwest Medicine Associates LLC Internal Medicine Past Accepting new patients

Locations

5701 W 119th St
Ste 115
Overland Park, KS 66209
Phone (816) 363-7710

17053 S US Highway 71
Ste 101
Belton, MO 64012
Phone (816) 331-4000

6675 Holmes Rd
Ste 550
Kansas City, MO 64131
Phone (816) 363-7710

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

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: michael.dahl@hca2.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1124013297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "SUITE 550",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311150",
            "telephone_number": "816-363-7710",
            "fax_number": "816-363-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "SUITE 550",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311150",
            "telephone_number": "816-363-7710",
            "fax_number": "816-363-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-27650",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2000156447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100452630B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100452630A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205951809",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.DAHL@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6675 Holmes Rd",
            "address_2": "SUITE 550",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641311150",
            "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.