Active NPI
Wendolyn Bea Becker, M.D.
- Anesthesiology Physician
- North Kansas City, MO
National Provider Identifier
1255538393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2011006586
- Practice address
- 2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254 - Phone
- (816) 691-2021
- Fax
- (816) 346-7690
- NPI assigned
- Jul 2, 2007
- Last updated
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2011006586 | MO | Primary |
| Anesthesiology Physician | 207L00000X | 2007018742 | MO | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2011006586 | MO |
Addresses
Primary practice location
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Mailing address
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00964001 | Other | MO | RR MEDICARE |
| 1255538393 | Medicaid | MO | |
| 200727600A | Medicaid | KS |
Other names 1
- Wendolyn Bea Altman
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Missouri, Kansas City, School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 Clay Edwards Dr
Suite 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007018742 | MO | MD | Anesthesiology Physician |
| 2011006586 | MO | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Anesthesiology | Current | Accepting new patients |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients |
Locations
2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681
Organizations & group practices 4
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.
-
dba NKC Health
- Anesthesiology Physician
- North Kansas City, MO
- NPI 1184267262
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Skilled Nursing Unit
- Skilled Nursing Facility
- North Kansas City, MO
- NPI 1437103215
Hospital
-
dba NKC Health
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1255538393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 CLAY EDWARDS DR STE 240",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163254",
"telephone_number": "816-691-2021",
"fax_number": "816-346-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 CLAY EDWARDS DR STE 240",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163254",
"telephone_number": "816-691-2021",
"fax_number": "816-346-7690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "WENDOLYN",
"middle_name": "BEA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2011006586",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2007018742",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MO",
"license": "2011006586",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00964001",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255538393",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200727600A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WENDOLYN",
"last_name": "ALTMAN",
"middle_name": "BEA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.