Individual provider Active NPI

David Edward Sternberg, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Lee's Summit, MO
National Provider Identifier
1235203308
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
R1P78 Issued in MO
Practice address
527 SW Market St
Lees Summit, MO 64063-3918
Phone
(913) 209-9495
Fax
(913) 498-0523
NPI assigned
Nov 20, 2006
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X R1P78 MO Primary
Psychiatry Physician 2084P0800X R1P78 MO
Psychiatry Physician 2084P0800X 25MA08170700 NJ
Psychiatry Physician 2084P0800X 04-22290 KS
Psychiatry Physician 2084P0800X MD431788 PA
Addiction Psychiatry Physician 2084P0802X 25MA08170700 NJ

Addresses

Primary practice location

527 SW Market St
Lees Summit, MO 64063-3918

Mailing address

4201 W 110TH St
Leawood, KS 66211-1422
Phone (913) 498-0522

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
I20160422002052 MO Order and Referring Only - PsychiatryPractitioner - Psychiatry 6103019575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R1P78MOMDAddiction Medicine (Psychiatry & Neurology) Physician
04-22290KSMDPsychiatry Physician
25MA08170700NJMDPsychiatry Physician
MD431788PAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1235203308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W 110TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111422",
            "telephone_number": "913-498-0522",
            "fax_number": "913-498-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 SW MARKET ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633918",
            "telephone_number": "913-209-9495",
            "fax_number": "913-498-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNBERG",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MO",
            "license": "R1P78",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R1P78",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08170700",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-22290",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD431788",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NJ",
            "license": "25MA08170700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.