Individual provider Active NPI

Susan M Herzberg, MD

  • Radiation Oncology Physician
  • Kansas City, MO
National Provider Identifier
1174586218
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
04-24196 Issued in KS
Practice address
4323 Wornall Rd
Radiation Oncology Dept
Kansas City, MO 64111-3229
Phone
(816) 932-2575
Fax
(816) 932-2344
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 102512 MO
Radiation Oncology Physician 2085R0001X 04-24196 KS Primary

Addresses

Primary practice location

4323 Wornall Rd
Radiation Oncology Dept
Kansas City, MO 64111-3229

Mailing address

6601 Winchester Ave
Suite 230
Kansas City, MO 64133-4677
Phone (816) 313-2677

Other identifiers 2

IdentifierTypeStateIssuer
207930314MedicaidMO
100173260BMedicaidKS

Other names 1

  • Susan M Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050119000733 MO Practitioner - Radiation OncologyPractitioner - Surgical Oncology 1850340662 Reassigns benefits to 1 organization
I20051027000548 KS Practitioner - Radiation OncologyPractitioner - Surgical Oncology 1850340662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Iowa, RJ & L Carver College of Medicine, 1991
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)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-24196KSMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Sep 15, 2021 Accepting new patients
Olathe Health Physicians, Inc. Current Accepting new patients

Locations

15123 S Omc Pkwy
Olathe, KS 66061
Phone (913) 355-8000

20375 W 151st St
Ste 180
Olathe, KS 66061
Phone (913) 768-7200

20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

5844 NW Barry Rd
Ste 40
Kansas City, MO 64154
Phone (816) 880-3876

4321 Washington St
Ste 6000
Kansas City, MO 64111
Phone (816) 756-2255

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

Organizations & group practices 2

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 7

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1174586218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 WINCHESTER AVE",
            "address_2": "SUITE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334677",
            "telephone_number": "816-313-2677",
            "fax_number": "816-313-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 WORNALL RD",
            "address_2": "RADIATION ONCOLOGY DEPT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113229",
            "telephone_number": "816-932-2575",
            "fax_number": "816-932-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZBERG",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "102512",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-24196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207930314",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173260B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SMITH",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.