Sonya Lynne Bullock, D.O.
Individual provider Active NPI Emergency Medicine Physician · Kansas City, KS
NPI 1245526136 · NPPES record last updated Dec 22, 2023
Key facts
- NPI
- 1245526136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 05-42467 (KS)
- Practice address
- 3901 Rainbow Blvd
Kansas City, KS 66160-4752 - Phone
- (913) 588-1559
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191007002065 | KS | Practitioner - Emergency Medicine | 2961727011 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-42467 | KS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kansas Hospital Authority | Current |
Accepting new patients | |
| Emergency Medicine Services of KS, PA | Emergency Medicine | Current |
Accepting new patients |
| University of Kansas Hospital Authority | Current |
Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 05-42467 | KS | Yes |
Addresses
Primary practice location
3901 Rainbow Blvd
Kansas City, KS 66160-4752
Mailing address
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-1599
Other providers in Kansas City, KS
- Madelyn Buckner
- Erin Buczek
- Tyler Buechler
- Tan D Bui
- Benjamin Bulger
- Mary Ellen Bulmash
- Ashlyn Elizabeth Rose Bunch
- Joshua Thomas Bunch
- Bundle Behavior
- Irene L Bundy
All providers in Kansas City, KS · Emergency Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.