Individual provider Active NPI

Barry Meade Littlejohn, M.D.

  • Obstetrics & Gynecology Physician
  • Cameron, MO
National Provider Identifier
1215010210
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2019046561 Issued in MO
Practice address
1600 E Evergreen St
Cameron, MO 64429-2400
Phone
(816) 632-2100
Fax
(816) 632-6123
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036071363 IL
Obstetrics & Gynecology Physician 207V00000X 37577 AZ
Obstetrics & Gynecology Physician 207V00000X 2019046561 MO Primary

Addresses

Primary practice location

1600 E Evergreen St
Cameron, MO 64429-2400

Mailing address

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2100

Other identifiers 3

IdentifierTypeStateIssuer
785000124OtherMOMEDICARE
036071363MedicaidIL
200078643MedicaidMO

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
I20200103002342 MO Practitioner - Obstetrics/Gynecology 7214010511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1608 E Evergreen St
Suite a
Cameron, MO 64429-2400
Phone (816) 632-5424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.28 of 100Reported as group
Quality
38.51
Improvement activities
40
Cost
70.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Regional Medical Center, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Jan 1, 2020 Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients

Locations

903 N 25th St
Bethany, MO 64424
Phone (660) 425-7333

1608 E Evergreen St
Ste A
Cameron, MO 64429
Phone (816) 632-5424

221 E 7th St
Cameron, MO 64429
Phone (816) 632-2111

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

Organizations & group practices 3

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 4

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1215010210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2100",
            "fax_number": "816-632-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2100",
            "fax_number": "816-632-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEJOHN",
        "first_name": "BARRY",
        "middle_name": "MEADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036071363",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "37577",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2019046561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "785000124",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071363",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200078643",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, MO

Sources for this page

Verify at the official NPI Registry.