Active NPI
Douglas J. Willhoite, MD
- Cardiovascular Disease Physician
- Kansas City, KS
National Provider Identifier
1275540775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 04-22093
- Practice address
- 4000 Cambridge St Ste G600
Kansas City, KS 66160-8500 - Phone
- (913) 588-9600
- Fax
- (913) 588-9770
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R6F72 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 04-22093 | KS | Primary |
Addresses
Primary practice location
4000 Cambridge St Ste G600
Kansas City, KS 66160-8500
Mailing address
4000 Cambridge St Ste G600
Kansas City, KS 66160-8501
Phone (913) 588-9600
Other practice location 1
10787 Nall Ave Ste 300
Overland Park, KS 66211-1372
Phone (913) 588-9400
Other practice location 2
820 Raven Hill Dr Ste 106A
Atchison, KS 66002-9251
Phone (913) 367-6227
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051564 | Other | KS | BCBS KS OUTREACH CLINICS |
| 100127760A | Medicaid | KS | |
| 12563046 | Other | BCBS KC | |
| 100127760B | Medicaid | KS | |
| 202262614 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-22093 | KS | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1275540775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 CAMBRIDGE ST STE G600",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608501",
"telephone_number": "913-588-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CAMBRIDGE ST STE G600",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-9600",
"fax_number": "913-588-9770"
}
],
"practiceLocations": [
{
"address_1": "10787 Nall Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662111372",
"country_code": "US",
"telephone_number": "913-588-9400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 Raven Hill Dr Ste 106A",
"address_purpose": "LOCATION",
"city": "Atchison",
"state": "KS",
"postal_code": "660029251",
"country_code": "US",
"telephone_number": "913-367-6227",
"fax_number": "913-367-3320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLHOITE",
"first_name": "DOUGLAS",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R6F72",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KS",
"license": "04-22093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KS OUTREACH CLINICS",
"identifier": "051564",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100127760A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "12563046",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100127760B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202262614",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.