Individual provider Active NPI

Addison Racoma Tolentino, M.D.

  • Hematology & Oncology Physician
  • Kansas City, MO
National Provider Identifier
1205802741
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2015015966 Issued in MO
Practice address
4321 Washington St Ste 4000
Kansas City, MO 64111-5965
Phone
(816) 932-3300
Fax
(816) 932-5793
NPI assigned
Feb 24, 2006
Last updated
Nov 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2015015966 MO Primary

Addresses

Primary practice location

4321 Washington St Ste 4000
Kansas City, MO 64111-5965

Mailing address

901 E. 104TH St
Mailstop 400N
Kansas City, MO 64131
Phone (816) 502-8752

Other practice location 1

1000 E. 23rd St.
Ste. 230
Sioux Falls, SD 57105-2122
Phone (605) 322-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20150604001021 MO Practitioner - Hematology/Oncology 6608833413 Reassigns benefits to 1 organization
I20150908001380 KS Practitioner - Hematology/Oncology 6608833413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1994
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)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

1001 6TH Ave
Leavenworth, KS 66048-3248

110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800

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

12330 Metcalf Ave
Overland Park, KS 66213-1324

12330 Metcalf Ave
Suite 580
Overland Park, KS 66213-1308
Phone (913) 317-3230

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
94.94 of 100Reported as group
Quality
91.35
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc CurrentSince Jan 1, 2018 Accepting new patients
Ozarks Medical Center 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

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

12330 Metcalf Ave
Ste 580
Overland Park, KS 66213
Phone (913) 317-3230

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

4321 Washington St
Ste 4000
Kansas City, MO 64111
Phone (816) 932-4549

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

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

301 NE Mulberry St
Ste 202
Lees Summit, MO 64086
Phone (816) 251-5710

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

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Interoperability endpoints

  • Direct secure messaging: atolentino85348@direct.saint-lukes.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1205802741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E. 104TH ST",
            "address_2": "MAILSTOP 400N",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-502-8752",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST STE 4000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115965",
            "telephone_number": "816-932-3300",
            "fax_number": "816-932-5793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E. 23rd St.",
            "address_2": "Ste. 230",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571052122",
            "country_code": "US",
            "telephone_number": "605-322-6900",
            "fax_number": "605-322-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "ADDISON",
        "middle_name": "RACOMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2015015966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.