Individual provider Active NPI

Stephen Longshore Ambrose, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Prairie Village, KS
National Provider Identifier
1215432257
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
04-47757 Issued in KS
Practice address
7400 State Line Rd
Prairie Village, KS 66208-3444
Phone
(913) 588-6600
Fax
(913) 588-6655
NPI assigned
Mar 29, 2018
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 91372 GA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 04-47757 KS Primary

Addresses

Primary practice location

7400 State Line Rd
Prairie Village, KS 66208-3444

Mailing address

7400 State Line Rd
Prairie Village, KS 66208-3444
Phone (913) 588-0831

Other practice location 1

1365 Clifton Rd NE Bldg B
Atlanta, GA 30322-2300
Phone (404) 778-3324

Other practice location 2

2451 USA Medical Center Dr
Mobile, AL 36617-2300
Phone (251) 471-7207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230823003554 KS Practitioner - Ophthalmology 5991058786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

7400 State Line Rd
Suite 100
Prairie Village, KS 66208-3447
Phone (913) 588-6670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91372GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Ophthalmology Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jul 31, 2023 Accepting new patients
Kansas University Physicians Inc Ophthalmology CurrentSince Jul 31, 2023 Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

7400 State Line Rd
Ste 100
Prairie Vlg, KS 66208
Phone (913) 588-6600

Interoperability endpoints

  • Direct secure messaging: sambrose617610@direct.kuha.org

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

Hospital & facility affiliations 2

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1215432257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 STATE LINE RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083444",
            "telephone_number": "913-588-0831",
            "fax_number": "913-588-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 STATE LINE RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083444",
            "telephone_number": "913-588-6600",
            "fax_number": "913-588-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 Clifton Rd NE Bldg B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303222300",
            "country_code": "US",
            "telephone_number": "404-778-3324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 USA Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172300",
            "country_code": "US",
            "telephone_number": "251-471-7207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "STEPHEN",
        "middle_name": "LONGSHORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "91372",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "KS",
            "license": "04-47757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.