Individual provider Active NPI

Benesto F Tumanut, M.D.

  • Specialist
  • Kansas City, MO
National Provider Identifier
1235100702
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33929 Issued in MO
Practice address
5844 NW Barry Rd
Suite 340
Kansas City, MO 64154-1465
Phone
(816) 880-6238
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33929 MO Primary

Addresses

Primary practice location

5844 NW Barry Rd
Suite 340
Kansas City, MO 64154-1465

Mailing address

PO Box 504538
Saint Louis, MO 63150-4538
Phone (816) 932-7940

Other identifiers 2

IdentifierTypeStateIssuer
1235100702MedicaidMO
203912605MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33929MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
SLN Medical Specialists, LLC Past Accepting new patients
Saint Luke'S Hospital of Trenton Past Accepting new patients
Medical Arts Family Medicine Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1235100702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504538",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504538",
            "telephone_number": "816-932-7940",
            "fax_number": "816-932-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD",
            "address_2": "SUITE 340",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541465",
            "telephone_number": "816-880-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMANUT",
        "first_name": "BENESTO",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "33929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235100702",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203912605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.