Individual provider Active NPI

Joan Annie Chandra, MD

  • Gastroenterology Physician
  • Lee's Summit, MO
National Provider Identifier
1265886394
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2022017167 Issued in MO
Practice address
3601 NE Ralph Powell Rd Ste a
Lees Summit, MO 64064-2316
Phone
(816) 836-2200
Fax
(816) 836-2244
NPI assigned
Apr 14, 2016
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2022017167 MO Primary

Addresses

Primary practice location

3601 NE Ralph Powell Rd Ste a
Lees Summit, MO 64064-2316

Mailing address

3601 NE Ralph Powell Rd Ste a
Lees Summit, MO 64064-2316
Phone (816) 836-2200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713002787 MO Practitioner - Gastroenterology 3476842865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Gi Health LLCGroup PAC ID 1850657347, 3 clinicians

Practice addresses (Care Compare)

3601 NE Ralph Powell Rd
Lees Summit, MO 64064-2358
Phone (816) 836-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.9 of 100Reported as group
Quality
93.04
Promoting interoperability
100
Improvement activities
40
Cost
66.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy88
Upper gastrointestinal (GI) endoscopy for acid reflux88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Gi Health LLC Gastroenterology CurrentSince Aug 1, 2022 Accepting new patients

Locations

3601 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 207-2000

3601 NE Ralph Powell Rd
Ste A
Lees Summit, MO 64064
Phone (816) 836-2200

Organizations & group practices 1

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 4

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1265886394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NE RALPH POWELL RD STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642316",
            "telephone_number": "816-836-2200",
            "fax_number": "816-836-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NE RALPH POWELL RD STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642316",
            "telephone_number": "816-836-2200",
            "fax_number": "816-836-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "JOAN",
        "middle_name": "ANNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2022017167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.