Active NPI
Samuel Kuykendall, M.D.
- Urology Physician
- Kansas City, MO
National Provider Identifier
1194948778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2012017449
- Practice address
- 4321 Washington St Ste 5300
Kansas City, MO 64111-5931 - Phone
- (816) 531-1234
- Fax
- (816) 531-0737
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 04-35782 | KS | |
| Urology Physician | 208800000X | 2012017449 | MO | Primary |
Addresses
Primary practice location
4321 Washington St Ste 5300
Kansas City, MO 64111-5931
Mailing address
4321 Washington St Ste 5300
Kansas City, MO 64111-5931
Phone (816) 531-1234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47807015 | Other | BCBS KC | |
| P01229653 | Other | KS | RR MEDICARE |
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
- Urology
- Education
- University of Tennessee, HSC, College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985
17525 Medical Ctr Pkwy
Independence, MO 64057-1824
Phone (816) 994-3150
2750 Clay Edwards Dr
North Kansas City, MO 64116-3258
Phone (816) 524-1007
4321 Washington St
Suite 5300
Kansas City, MO 64111-5931
Phone (816) 531-1234
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-2000
8551 Bluejacket St
Lenexa, KS 66214-1656
Hospital & facility affiliations
- Enhabit Home Health
- Menorah Medical Center
- St Lukes Hospital of Kansas City
- Adventhealth Shawnee Mission
- Western Missouri Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of the uterus | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-35782 | KS | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Urology Inc | Urology | Past | Accepting new patients |
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.
-
- Urology Physician
- Los Angeles, CA
- NPI 1861422941
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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
- Warrensburg, MO
- NPI 1083601330
-
- Home Health Agency
- Lenexa, KS
- NPI 1740603844
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1255378337
-
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1194948778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 WASHINGTON ST STE 5300",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115931",
"telephone_number": "816-531-1234",
"fax_number": "816-531-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 WASHINGTON ST STE 5300",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115931",
"telephone_number": "816-531-1234",
"fax_number": "816-531-0737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUYKENDALL",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KS",
"license": "04-35782",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "2012017449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "47807015",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01229653",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}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 Jan 15, 2021; 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.