Individual provider Active NPI

Ryan Thomas Jenson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kansas City, MO
National Provider Identifier
1225690068
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2019024605 Issued in MO
Practice address
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone
(816) 404-9597
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2019024605 MO Primary

Addresses

Primary practice location

7900 Lees Summit Rd
Kansas City, MO 64139-1236

Mailing address

24268 W 111TH PL
Olathe, KS 66061-8490
Phone (719) 231-8747

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220916002457 MO Practitioner - Podiatry 1759766397 Reassigns benefits to 2 organizations
I20220916002550 KS Practitioner - Podiatry 1759766397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Arizona Podiatric Med Program at Midwestern Un, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Institute of Podiatry PAGroup PAC ID 1759649650, 3 clinicians

Practice addresses (Care Compare)

10550 Quivira Rd
Suite 360
Overland Park, KS 66215-2379
Phone (913) 894-4040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

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
64.86 of 100Reported as group
Quality
29.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue280
Removal of skin lesions1-10
Removal of nail tissue396
Removal or shaving of skin growth148
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019024605MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc CurrentSince Oct 13, 2022 Accepting new patients
Kansas City Institute of Podiatry, P.a. Foot & Ankle Surgery CurrentSince Nov 1, 2023 Accepting new patients

Locations

10550 Quivira Rd
Ste 360
Overland Park, KS 66215
Phone (913) 227-0565

5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441

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

550 Rush Creek Pkwy
Ste A
Liberty, MO 64068
Phone (816) 452-4893

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

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 3

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1225690068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24268 W 111TH PL",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618490",
            "telephone_number": "719-231-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 LEES SUMMIT RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641391236",
            "telephone_number": "816-404-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSON",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2019024605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.