NPIMap

Individual provider Active NPI

Anatoly Loskutov, M.D.

  • Diagnostic Radiology Physician
  • Kansas City, MO
National Provider Identifier
1184042525
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2014014726 Issued in MO
Practice address
4338 Rockhill Rd
Kansas City, MO 64110-1543
Phone
(913) 634-7314
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2014014726 MO Primary

Addresses

Primary practice location

4338 Rockhill Rd
Kansas City, MO 64110-1543

Mailing address

4338 Rockhill Rd
Kansas City, MO 64110-1543
Phone (913) 634-7314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200709003367 MO Practitioner - Diagnostic Radiology 4183926363 Reassigns benefits to 1 organization
I20260106003684 KS Practitioner - Diagnostic Radiology 4183926363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 2019
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)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

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

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014014726MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Physician Group Inc CurrentSince Jul 9, 2020 Accepting new patients
Saint Luke'S Physician Group Inc Diagnostic Radiology CurrentSince Jul 9, 2020 Accepting new patients
Medical Plaza Imaging Associates, LLC Diagnostic Radiology CurrentSince Jul 9, 2020 Accepting new patients
Saint Luke'S Neighborhood Clinics, LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients

Locations

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

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

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

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

Interoperability endpoints

  • Direct secure messaging: aloskutov66257@direct.saint-lukes.org

Organizations & group practices 4

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 8

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1184042525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 ROCKHILL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101543",
            "telephone_number": "913-634-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 ROCKHILL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101543",
            "telephone_number": "913-634-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSKUTOV",
        "first_name": "ANATOLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2014014726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.