Active NPI
Kansas City Kidney Consultants, PA
- Nephrology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- KANSAS CITY KIDNEY CONSULTANTS, PA
- Practice address
- 4601 Madison Ave Ste 300
Kansas City, MO 64112-1268 - Phone
- (816) 531-0552
- Fax
- (816) 756-2503
- NPI assigned
- Sep 15, 2006
- Reactivated
- May 5, 2022
- Last updated
- Sep 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan M Lustig, M.D.
- Title
- President
- Phone
- (816) 531-0552
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 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, KS
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
6740 W 121st St
Overland Park, KS 66209
Phone (913) 894-6500
6740 W 121st St
#150
Overland Park, KS 66209
2425 S Rouse St
Pittsburg, KS 66762
Phone (620) 231-0656
1715 E Ohio St
Clinton, MO 64735
604 Kansas Ave
Clinton, MO 64735
Phone (660) 890-0830
100 Missouri Ave
Ste 204
Kansas City, MO 64106
2250 Holmes St
Kansas City, MO 64108
Phone (816) 421-3533
2301 Holmes St
Kansas City, MO 64108
Phone (816) 404-4175
4320 Wornall Rd
Ste 208
Kansas City, MO 64111
Phone (816) 830-4285
4320 Wornall Rd
Ste 240
Kansas City, MO 64111
Phone (816) 932-4655
4333 Madison Ave
Ste 100
Kansas City, MO 64111
Phone (816) 756-0645
4601 Madison Ave
Ste 300
Kansas City, MO 64112
900 E 21st St
Kansas City, MO 64108
Phone (816) 842-9286
100 NE Missouri Rd
Ste 204
Lees Summit, MO 64086
Practitioners & affiliated clinicians
Practitioners 33
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Kansas City, MO
- NPI 1124246335
-
- Acute Care Nurse Practitioner
- Kansas City, MO
- NPI 1851269385
-
- Nephrology Physician
- Kansas City, MO
- NPI 1053408484
-
- Nephrology Physician
- Kansas City, MO
- NPI 1083891535
-
- Nephrology Physician
- Kansas City, MO
- NPI 1740245182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1164528626",
"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": {
"organization_name": "KANSAS CITY KIDNEY CONSULTANTS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"deactivation_date": "2022-04-12",
"reactivation_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "LUSTIG",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "816-531-0552",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
- Kansas City Heart Group
- Kansas City Hospice, Inc (Kansas City Hospice and Palliative Care)
- Kansas City Hospice, Inc (Kansas City Palliative Medicine)
- Kansas City Hospice, Inc (Kansas City Palliative Home Care)
- Kansas City International Academy
- Kansas City Lifecoaches (Counseling & Recovery Partners)
- Kansas City Metropolitan Ear Nose & Throat PA
- Kansas City Metropolitan Physician Association
- Kansas City Neurosurgery Group, LLC
- Kansas City OB-GYN Physicians,P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.