Individual provider Active NPI

Amy Susanne Carter, DO

  • Obstetrics & Gynecology Physician
  • Kansas City, MO
National Provider Identifier
1124121629
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2007006873 Issued in MO
Practice address
4400 Broadway St
Third Floor
Kansas City, MO 64111-3498
Phone
(816) 931-9344
Fax
(816) 931-4168
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2007006873 MO Primary

Addresses

Primary practice location

4400 Broadway St
Third Floor
Kansas City, MO 64111-3498

Mailing address

4400 Broadway Ste 302
Kansas City, MO 64111-3342
Phone (816) 931-9344

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
I20090511000215 MO Practitioner - Obstetrics/Gynecology 2961584362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

4400 Broadway
Suite 520
Kansas City, MO 64111-3342
Phone (816) 531-4080

4400 Broadway Blvd
Kansas City, MO 64111-3342

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Jan 1, 2018 Accepting new patients
Ferns, Matile, Perryman & Moore, M.D.'S, P.a. Obstetrics & Gynecology CurrentSince May 9, 2009 Accepting new patients
St Lukes Hospital of Kansas City Past Accepting new patients

Locations

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

4400 Broadway Blvd
Ste 302
Kansas City, MO 64111
Phone (816) 756-5047

4400 Broadway Blvd
Fl Third
Kansas City, MO 64111
Phone (816) 931-9344

4320 Wornall Rd
Ste 65
Kansas City, MO 64111
Phone (816) 932-6100

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 3

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 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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1124121629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY STE 302",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113342",
            "telephone_number": "816-931-9344",
            "fax_number": "816-931-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "THIRD FLOOR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-931-9344",
            "fax_number": "816-931-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "AMY",
        "middle_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2007006873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.