Michael W Dennis, MD
Individual provider Active NPI Diagnostic Radiology Physician · Shawnee Mission, KS
NPI 1184644288 · NPPES record last updated Apr 14, 2017
Key facts
- NPI
- 1184644288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 04-19986 (KS)
- Practice address
- 9100 W 74TH St
Shawnee Mission, KS 66204-4004 - Phone
- (913) 676-2310
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Radiology Consultants of Kansas City PA
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 393-9729
17525 Medical Ctr Pkwy
Independence, MO 64057-1824
Phone (913) 393-9729
Hospital & facility affiliations
- Overland Park Reg Med Ctr
- Saint Luke'S South Hospital
- Saint Lukes North Hospital
- Hedrick Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.62 of 100
- Quality
- 81.9
- Improvement activities
- 40
- Cost
- 98.59
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.84 of 100
- Quality
- 78.92
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.37
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in KS, MO, HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100713000147 | KS | Practitioner - Diagnostic Radiology | 1456434612 | Reassigns benefits to 1 organization |
| I20160606001155 | MO | Practitioner - Diagnostic Radiology | 1456434612 | Reassigns benefits to 1 organization |
| I20201023002433 | HI | Practitioner - Diagnostic Radiology | 1456434612 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-19986 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overland Park Surgical Specialties LLC | Current |
Accepting new patients | |
| Advanced Radiology Consultants of Kansas City, PA | Diagnostic Radiology | Current |
Accepting new patients |
| Johnson County Imaging Center LLC | Diagnostic Radiology | Past |
Accepting new patients |
| Shawnee Mission Open MRI, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
5405 W 151st St
Leawood, KS 66224
Phone (913) 323-8830
11755 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 469-0503
10600 Mastin St
Overland Park, KS 66212
Phone (913) 438-0868
4901 W 136th St
Overland Park, KS 66224
Phone (913) 890-7280
10550 Quivira Rd
Ste 360
Overland Park, KS 66215
Phone (913) 227-0565
7246 W 75th St
Overland Park, KS 66204
Phone (913) 222-8370
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
17525 Medical Center Pkwy
Independence, MO 64057
Phone (816) 836-6875
5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441
191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700
Interoperability endpoints
- mdennis97051@direct.saint-lukes.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 04-19986 | KS | Yes |
Addresses
Primary practice location
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Mailing address
8000 W 110TH St
Ste 150
Overland Park, KS 66210-2382
Phone (913) 599-6777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15197081 | Other | BCBS | |
| 100113810B | Medicaid | KS | |
| 203938014 | Medicaid | MO |
Other providers in Shawnee Mission, KS
- Tyler Davis
- Deborah a King Ma & Associates Inc
- Deborah a. King
- Deborah a. King, M.a. and Assoc.
- Nancy Rose Delacruz
- Megan Marie Despain
- Bhaswanth Dhanireddy
- Jennifer E Dickinson
- Kanakam Dileepan
- Erica Dimick
All providers in Shawnee Mission, KS · Diagnostic Radiology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.