NPIMap

Individual provider Active NPI

Kent L Haggard, M.D.

  • Urology Physician
  • Independence, MO
National Provider Identifier
1225069032
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
105398 Issued in MO
Practice address
17525 Medical Center Pkwy
Independence, MO 64057-1824
Phone
(816) 994-3150
Fax
(816) 359-3044
NPI assigned
Jul 6, 2006
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 105398 MO Primary

Addresses

Primary practice location

17525 Medical Center Pkwy
Independence, MO 64057-1824

Mailing address

8551 Bluejacket St
Lenexa, KS 66214-1656
Phone (913) 341-7985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050603000817 KS Practitioner - Urology 6507809258 Reassigns benefits to 1 organization
I20100728000575 MO Practitioner - Urology 6507809258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

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

2800 Clay Edwards Dr
Kansas City, MO 64116-3220
Phone (816) 691-2000

4321 Washington St
Suite 5300
Kansas City, MO 64111-5931
Phone (816) 531-1234

8551 Bluejacket St
Lenexa, KS 66214-1656

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105398MOMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists PC Specialist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1225069032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 BLUEJACKET ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141656",
            "telephone_number": "913-341-7985",
            "fax_number": "913-341-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17525 MEDICAL CENTER PKWY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571824",
            "telephone_number": "816-994-3150",
            "fax_number": "816-359-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGARD",
        "first_name": "KENT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "105398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.