Individual provider Active NPI

Michael Robert Brown, D.O.

  • Family Medicine Physician
  • Smithville, MO
National Provider Identifier
1174848840
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011026830 Issued in MO
Practice address
1103 S. Highway
Suite C
Smithville, MO 64089
Phone
(816) 691-5340
Fax
(816) 346-7054
NPI assigned
Apr 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2011026830 MO Primary

Addresses

Primary practice location

1103 S. Highway
Suite C
Smithville, MO 64089

Mailing address

1103 S. Highway
Suite C
Smithville, MO 64089
Phone (816) 691-5340

Other practice location 1

6450 N Chatham Ave
Kansas City, MO 64151-2403
Phone (816) 740-5542

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
I20111020000688 MO Practitioner - Family Practice 5698947455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

6450 N Chatham Ave
Kansas City, MO 64151-2403
Phone (816) 741-5542

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation CurrentSince Mar 5, 2018 Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Meritas Health Corporation Family Medicine CurrentSince Mar 5, 2018 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Family Medicine PastSince Oct 1, 2019 Accepting new patients
Meritas Health Corporation Family Medicine Past Accepting new patients
Meritas Health Corporation Family Medicine Past Accepting new patients

Locations

6450 N Chatham Ave
Kansas City, MO 64151
Phone (816) 740-5542

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

Interoperability endpoints

  • Direct secure messaging: michael.brown@direct.mymlc.com

Organizations & group practices 7

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 3

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1174848840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S. HIGHWAY",
            "address_2": "SUITE C",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "64089",
            "telephone_number": "816-691-5340",
            "fax_number": "816-346-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S. HIGHWAY",
            "address_2": "SUITE C",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "64089",
            "telephone_number": "816-691-5340",
            "fax_number": "816-346-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6450 N Chatham Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641512403",
            "country_code": "US",
            "telephone_number": "816-740-5542",
            "fax_number": "816-746-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2011026830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, MO

Sources for this page

Verify at the official NPI Registry.