Individual provider Active NPI

Matthew J Twardowski, O.D.

  • Optometrist
  • Smithville, MO
National Provider Identifier
1265744858
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2011016150 Issued in MO
Practice address
1000 S US Highway 169
Smithville, MO 64089-9321
Phone
(816) 873-0202
Fax
(816) 873-0203
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1932 KS
Optometrist 152W00000X 2011016150 MO Primary

Addresses

Primary practice location

1000 S US Highway 169
Smithville, MO 64089-9321

Mailing address

7400 State Line Rd Ste 202
Prairie Village, KS 66208-3445
Phone (913) 588-6605

Other identifiers 1

IdentifierTypeStateIssuer
200266420 EMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028001832 KS Practitioner - Optometry 4981729324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-6431

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Oct 13, 2015 Accepting new patients
Kansas University Physicians Inc CurrentSince Oct 13, 2015 Accepting new patients
Spectrios Institute for Low Vision PastSince Jul 1, 2015 Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

7400 State Line Rd
Ste 100
Prairie Vlg, KS 66208
Phone (913) 588-6600

Interoperability endpoints

  • Direct secure messaging: mtwardowski538313@direct.kuha.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1265744858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 STATE LINE RD STE 202",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083445",
            "telephone_number": "913-588-6605",
            "fax_number": "913-588-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S US HIGHWAY 169",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899321",
            "telephone_number": "816-873-0202",
            "fax_number": "816-873-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWARDOWSKI",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1932",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2011016150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266420 E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, MO

Sources for this page

Verify at the official NPI Registry.