NPIMap

Organization Active NPI

Rockhill Orthopaedic Specialists Inc

  • Orthopaedic Surgery Physician
  • Lee's Summit, MO
National Provider Identifier
1235408170
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ROCKHILL ORTHOPAEDIC SPECIALISTS INC
Practice address
120 NE Saint Lukes Blvd
Suite 200
Lees Summit, MO 64086-6000
Phone
(816) 502-8782
Fax
(816) 246-8910
NPI assigned
Dec 21, 2011
Last updated
Nov 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LUKE'S HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Mr. Matthew L Marino
Title
Cfo
Phone
(816) 347-4782

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

120 NE Saint Lukes Blvd
Suite 200
Lees Summit, MO 64086-6000

Mailing address

120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011
Phone (816) 246-4302

Other practice location 1

600 NE Adams Dairy Pkwy Ste 160
Blue Springs, MO 64014-5496
Phone (816) 502-8782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120331000052 MO Part B Supplier - Clinic/Group Practice 5698935419 Receives reassigned benefits from 30 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Blue Springs, MO; Kansas City, MO; Lees Summit, MO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1223 Gateway Dr
Ste 2E
Melbourne, FL 32901
Phone (321) 434-6650

600 NE Adams Dairy Pkwy
Ste 160
Blue Springs, MO 64014

8880 NE 82nd Ter
Ste 120
Kansas City, MO 64158

120 NE Saint Lukes Blvd
Ste 300
Lees Summit, MO 64086
Phone (816) 932-8663

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1235408170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866011",
            "telephone_number": "816-246-4302",
            "fax_number": "816-246-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD",
            "address_2": "SUITE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866000",
            "telephone_number": "816-502-8782",
            "fax_number": "816-246-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 NE Adams Dairy Pkwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640145496",
            "country_code": "US",
            "telephone_number": "816-502-8782",
            "fax_number": "816-246-9493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCKHILL ORTHOPAEDIC SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKE'S HEALTH SYSTEM, INC.",
        "enumeration_date": "2011-12-21",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-347-4782",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.