NPIMap

Individual provider Active NPI

Ryan Matthew Lustig I, M.D.

  • Nephrology Physician
  • Kansas City, MO
National Provider Identifier
1124246335
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2009032079 Issued in MO
Practice address
4601 Madison Ave Ste 300
Kansas City, MO 64112-1268
Phone
(816) 531-0552
Fax
(816) 756-2503
NPI assigned
Apr 23, 2007
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0434257 KS
Nephrology Physician 207RN0300X 2009032079 MO Primary

Addresses

Primary practice location

4601 Madison Ave Ste 300
Kansas City, MO 64112-1268

Mailing address

4601 Madison Ave Ste 300
Kansas City, MO 64112-1268
Phone (816) 531-0552

Other practice location 1

100 NE Missouri Rd Ste 204
Lees Summit, MO 64086-4716
Phone (816) 531-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000870 MO Practitioner - NephrologyPractitioner - Emergency MedicinePractitioner - Internal Medicine 8426240326 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2007
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
Kansas City Kidney Consultants PAGroup PAC ID 2769454644, 16 clinicians
Bates County Memorial HospitalGroup PAC ID 8123937356, 66 clinicians

Practice addresses (Care Compare)

2703 Running Horse Rd
Platte City, MO 64079-7707
Phone (816) 858-7050

308 Galaxie Ave
Harrisonville, MO 64701-2084
Phone (816) 531-0552

4320 Wornall Rd
Suite 208
Kansas City, MO 64111-5964
Phone (816) 531-0552

5830 NW Barry Rd St Lukes N Hospi
Kansas City, MO 64154-2778
Phone (816) 531-0552

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

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-2004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0434257KSMDNephrology Physician
2009032079MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mawd Pathology Group Inc Current Accepting new patients
Western Missouri Medical Center CurrentSince Apr 1, 2016 Accepting new patients
Western Missouri Medical Center CurrentSince Apr 1, 2016 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Oct 18, 2014 Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Bates County Memorial Hospital CurrentSince Feb 19, 2018 Accepting new patients
University Health Physicians Internal Medicine CurrentSince Sep 25, 2012 Accepting new patients
Bates County Memorial Hospital Current Accepting new patients
Bates County Memorial Hospital CurrentSince Feb 19, 2018 Accepting new patients
Saint Luke's Hospital of Trenton Current Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince Aug 21, 2014 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Oct 18, 2014 Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince Aug 21, 2014 Accepting new patients
St Lukes Hospital of Kansas City Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

2301 Holmes St
Kansas City, MO 64108
Phone (816) 404-4175

4320 Wornall Rd
Ste 208
Kansas City, MO 64111
Phone (816) 830-4285

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

427 Burkarth Rd
Ste C
Warrensburg, MO 64093
Phone (660) 262-7393

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • Direct secure messaging: rlustig5302@direct.saint-lukes.org
  • Direct secure messaging: ryan.lustig.1@15058.direct.athenahealth.com
  • Direct secure messaging: ryan.lustig@direct.tmcmed.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1124246335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 MADISON AVE STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121268",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MADISON AVE STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121268",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 NE Missouri Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640864716",
            "country_code": "US",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSTIG",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "0434257",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2009032079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.