Active NPI
Roderick Lathon
- Certified Registered Nurse Anesthetist
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 556974
- Practice address
- 3901 Rainbow Blvd
Kansas City, KS 66160-8500 - Phone
- (913) 588-6670
- Fax
- (913) 588-3365
- NPI assigned
- Jun 3, 2010
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 556974 | KS | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Mailing address
PO Box 411851
Kansas City, MO 64141-1851
Phone (913) 588-6670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100903000788 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4688798119 | Reassigns benefits to 2 organizations |
| I20220121001216 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4688798119 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas University Physicians Inc
Practice addresses (Care Compare)
20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 588-1227
20805 W 151St St
Olathe, KS 66061-7249
Phone (913) 588-1227
3901 Rainbow Blvd
Kansas City, KS 66160-7415
Phone (913) 588-3315
Hospital & facility affiliations
- University of Kansas Health System Olathe Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 556974 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| Midwest Heart & Vascular Specialists, LLC | Past | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
KS, MO
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Diagnostic Radiology Physician
- Kansas City, KS
- NPI 1689710519
-
- Neurological Surgery Physician
- Kansas City, KS
- NPI 1922144856
-
- Anesthesiology Physician
- Kansas City, KS
- NPI 1750459657
-
- Cardiovascular Disease Physician
- Overland Park, KS
- NPI 1760736615
Hospital & facility affiliations 1
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": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1275853996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411851",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641411851",
"telephone_number": "913-588-6670",
"fax_number": "913-588-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-6670",
"fax_number": "913-588-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHON",
"first_name": "RODERICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-03",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "556974",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.