Individual provider Active NPI

Samantha Dearmon, DO

  • Emergency Medicine Physician
  • Belton, MO
National Provider Identifier
1164913240
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2021030125 Issued in MO
Practice address
17065 S Outer Rd
Belton, MO 64012-2165
Phone
(417) 693-0304
NPI assigned
May 23, 2018
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2021030125 MO Primary

Addresses

Primary practice location

17065 S Outer Rd
Belton, MO 64012-2165

Mailing address

5100 Oak St Apt 241
Kansas City, MO 64112-2958
Phone (417) 693-0304

Other practice location 1

3901 Rainbow Blvd # MS 1045
Kansas City, KS 66160-8500
Phone (913) 588-1559

Other practice location 2

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6122

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
I20211011002238 MO Practitioner - Emergency Medicine 4284982877 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.52 of 100Reported as group
Quality
73.6
Promoting interoperability
100
Improvement activities
40
Cost
81.46

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Mo, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Aug 22, 2023 Accepting new patients
Mosaic Medical Center - Maryville Emergency Medicine CurrentSince Oct 30, 2023 Accepting new patients
Northwest Medical Center Association Inc Emergency Medicine CurrentSince Aug 22, 2023 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Oct 30, 2023 Accepting new patients
Heartland Regional Medical Center Emergency Medicine Current Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 13, 2023 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 13, 2023 Accepting new patients

Locations

705 N College St
Albany, MO 64402
Phone (660) 726-3941

17065 S Outer Rd
Belton, MO 64012
Phone (816) 322-2000

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506

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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1164913240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 OAK ST APT 241",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122958",
            "telephone_number": "417-693-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17065 S OUTER RD",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "417-693-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Rainbow Blvd # MS 1045",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661608500",
            "country_code": "US",
            "telephone_number": "913-588-1559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-6122",
            "fax_number": "816-271-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEARMON",
        "first_name": "SAMANTHA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2021030125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

Verify at the official NPI Registry.