Individual provider Active NPI

Raonak Ekram, MD

  • Medical Oncology Physician
  • Liberty, MO
National Provider Identifier
1255300133
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2003010143 Issued in MO
Practice address
2529 Glenn Hendren Dr Ste G30
Liberty, MO 64068-9610
Phone
(816) 251-5600
NPI assigned
Mar 14, 2006
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 04-31400 KS
Medical Oncology Physician 207RX0202X 2003010143 MO Primary

Addresses

Primary practice location

2529 Glenn Hendren Dr Ste G30
Liberty, MO 64068-9610

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 251-5600

Other practice location 1

12140 Nall Ave Ste 200
Overland Park, KS 66209-2507
Phone (913) 498-7409

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040331001052 MO Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 8527050475 Reassigns benefits to 1 organization
I20051012000249 KS Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8527050475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

12330 Metcalf Ave
Overland Park, KS 66213-1324

12330 Metcalf Ave
Suite 580
Overland Park, KS 66213-1308
Phone (913) 317-3230

2529 Glenn Hendren Dr
Suite G30
Liberty, MO 64068-9610
Phone (816) 454-1658

711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31400KSMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc CurrentSince Feb 27, 2023 Accepting new patients
SSM Regional Health Services Past Accepting new patients
SSM Regional Health Services Past Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

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

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

110 NE Saint Lukes Blvd
Ste 500
Lees Summit, MO 64086
Phone (816) 287-6060

2529 Glenn Hendren Dr
Ste G30
Liberty, MO 64068
Phone (816) 251-5600

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

Interoperability endpoints

  • Direct secure messaging: raonak.ekram@hca2.eclinicaldirectplus.com
  • Direct secure messaging: rekram464343@direct.saint-lukes.org

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 7

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1255300133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-251-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 GLENN HENDREN DR STE G30",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689610",
            "telephone_number": "816-251-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12140 Nall Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662092507",
            "country_code": "US",
            "telephone_number": "913-498-7409",
            "fax_number": "913-498-7470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKRAM",
        "first_name": "RAONAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KS",
            "license": "04-31400",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "2003010143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.