Kelly Jo Sandri, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2012038309 Issued in MO

Practice address

7900 Lees Summit Rd
Kansas City, MO 64139-1236

Phone

(816) 404-7000

NPI assigned

Apr 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Jo Easley Former name

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Truman Medical Center, Incorporated

  dba University Health Lakewood Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1376686600
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Truman Medical Center, Incorporated

  dba University Health Lakewood Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1376686600
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1275823106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOLMES ST",
            "address_2": "STE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082602",
            "telephone_number": "816-218-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 LEES SUMMIT RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641391236",
            "telephone_number": "816-404-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDRI",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2012038309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "EASLEY",
            "middle_name": "JO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alan J Sanderson, LCSW
• Holly Elaine Sanderson, MS, PLPC
• Quinsie Marie Sanderson, FNP-C
• Stephanie Leigh Sanderson, LCSW
• Sandra Loughlin, PH.D., P.C.
• Kimberly Sands, LMSW
• Laura L Sandy Shaughnessy, MA, LPC
• Amy Sandy, MSW
• Scott Alan Sanford
• Bakul Vinodrai Sangani, MD

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.

Verify at the official NPI Registry.