Robert E. Dattilio, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

107975 Issued in MO

Practice address

6420 N Prospect Ave
Gladstone, MO 64119

Phone

(913) 945-9700

Fax

(913) 945-9707

NPI assigned

Jun 24, 2006

Last updated

Jun 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

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

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jayhawk Primary Care IncGroup PAC ID 8123928900, 157 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdattilio72233@direct.kuha.org

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.

• Jayhawk Primary Care Inc

  dba The University of Kansas Health System-Family Medicine

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1982665436
  Medicare reassignment Care Compare group NPD
• Kansas University Physicians Inc

  dba KU Neurosurgery

  • Neurological Surgery Physician
  • Kansas City, KS
  • NPI 1922144856

  MO

  Medicare reassignment NPD
• Jayhawk Primary Care Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1376324152

  Family Medicine

  NPD
• Kansas University Physicians Inc

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1407637291
  NPD
• Kansas University Physicians, Inc.

  dba KU Urgent Care

  • Urgent Care Clinic/Center
  • Kansas City, KS
  • NPI 1295378156

  Family Medicine

  NPD
• Jayhawk Primary Care Inc

  dba Picture Hills Family Medicine

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1356308878
  NPD (past)
• Jayhawk Primary Care Inc

  dba Creekwood Family Care

  • Family Medicine Physician
  • Gladstone, MO
  • NPI 1417919283
  NPD (past)
• Jayhawk Primary Care Inc

  dba Picture Hills After Hours Urgent Care

  • Urgent Care Clinic/Center
  • Kansas City, MO
  • NPI 1528016482
  NPD (past)
• Jayhawk Primary Care Inc

  dba Family Care of Independence

  • Family Medicine Physician
  • Independence, MO
  • NPI 1790742765
  NPD (past)
• Jayhawk Primary Care Inc

  dba Ku Medwest

  • Family Medicine Physician
  • Shawnee, KS
  • NPI 1528025053
  NPD (past)
• Jayhawk Primary Care Inc

  dba Westwood Urgent Care

  • Urgent Care Clinic/Center
  • Westwood, KS
  • NPI 1649459751
  NPD (past)
• Jayhawk Primary Care Inc

  dba The University of Kansas Health System-Family Medicine

  • Family Medicine Physician
  • Prairie Village, KS
  • NPI 1811954316
  NPD (past)

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

• University of Kansas Hospital Authority

  dba University of Kansas Hospital / University of Kansas Cancer Center

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  dba The University of Kansas Hospital

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1174559942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SHAWNEE MISSION PKWY",
            "address_2": "MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662052005",
            "telephone_number": "913-588-9000",
            "fax_number": "913-588-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 N PROSPECT AVE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "64119",
            "telephone_number": "913-945-9700",
            "fax_number": "913-945-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTILIO",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "107975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PICTURE HILLS",
            "identifier": "21968021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE OF NY",
            "identifier": "157695XX",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080158296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP CREEKWOOD",
            "identifier": "10001644900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAYHAWK TAX ID",
            "identifier": "481159444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CFU BCBS",
            "identifier": "18960020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2057249",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PICTURE HILLS UC",
            "identifier": "22039026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CREEKWOOD",
            "identifier": "21968011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.