Individual provider Active NPI

Jonathan David Schultz, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1174608111
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
04-32151 Issued in KS
Practice address
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone
(816) 404-7100
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 2012028256 MO
Sports Medicine (Family Medicine) Physician 207QS0010X 04-32151 KS Primary

Addresses

Primary practice location

7900 Lees Summit Rd
Kansas City, MO 64139-1236

Mailing address

12200 W 106TH St Ste 400
Overland Park, KS 66215-2305
Phone (913) 541-5500

Other practice location 1

12200 W 106th St Ste 400
Overland Park, KS 66215-2305
Phone (913) 541-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JONATHAN.SCHULTZ@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20061201000442 KS Practitioner - Orthopedic SurgeryPractitioner - Family PracticePractitioner - Sports Medicine 9133015084 Reassigns benefits to 1 organization
I20130816000205 MO Practitioner - Sports MedicinePractitioner - Family Practice 9133015084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Medical College of Georgia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

1300 E N Ave
Belton, MO 64012-5108
Phone (816) 406-3443

13761 Metcalf Ave
Overland Park, KS 66223-7899
Phone (913) 814-3788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20644OKMDPharmacist
04-32151KSMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince Aug 23, 2023 Accepting new patients
Kansas City Womens Clinic Group LLC PastSince Sep 18, 2017 Accepting new patients
Orthokc Professional Association PastSince Apr 1, 2009 Accepting new patients
Bienville Orthopaedic Specialists, LLC PastSince Jan 1, 1990 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients
Bienville Orthopaedic Specialists, LLC PastSince Jan 1, 1990 Accepting new patients
Bienville Orthopaedic Specialists, LLC PastSince Jan 1, 1990 Accepting new patients

Locations

13761 Metcalf Ave
Overland Park, KS 66223
Phone (913) 814-3788

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jonathan.schultz@hca2.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1174608111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-541-5500",
            "fax_number": "913-541-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 LEES SUMMIT RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641391236",
            "telephone_number": "816-404-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 W 106th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152305",
            "country_code": "US",
            "telephone_number": "913-541-5500",
            "fax_number": "913-541-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MO",
            "license": "2012028256",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "04-32151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JONATHAN.SCHULTZ@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12200 W 106th St Ste 400",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.