Active NPI
Susan M Herzberg, MD
- Radiation Oncology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 04-24196
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207930314 | Medicaid | MO | |
| 100173260B | Medicaid | KS |
Other names 1
- Susan M Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
- Truman Medical Center Hospital Hill
- Saint Luke'S South Hospital
- Saint Luke'S East Hospital
- Kansas City Orthopaedic Institute
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 04-24196 | KS | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current | 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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
-
- Family Medicine Physician
- Olathe, KS
- NPI 1598784639
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1053353490
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1467595793
-
- General Acute Care Hospital
- Leawood, KS
- NPI 1457364408
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.