Active NPI
Grace S Mitchell, MD
- Pediatric Radiology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 2015018671
- Practice address
- 2401 Gillham Rd
Kansas City, MO 64108-4619 - Phone
- (816) 234-3000
- Fax
- (816) 302-9939
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 04-38167 | KS | |
| Pediatric Radiology Physician | 2085P0229X | 2015018671 | MO | Primary |
Addresses
Primary practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Mailing address
2401 Gillham Rd
Provider Enrollment Dept
Kansas City, MO 64108-4619
Phone (816) 701-5200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191211001810 | MO | Practitioner - Radiation Oncology | 0345484861 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Tufts University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Cardinal Glennon Children'S HospitalThe Childrens Mercy Hospital
Practice addresses (Care Compare)
1465 S Grand Blvd
SSM Cardinal Glennon Childrens Hos
Saint Louis, MO 63104-1003
Phone (314) 577-5600
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - St Louis
- The Children'S Mercy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-38167 | KS | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| SSM Health Care Group | Diagnostic Radiology | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| The Children'S Mercy Hospital | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| SSM Cardinal Glennon Children'S Hospital | Current | Accepting new patients | |
| The Children'S Mercy Hospital | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
13000 Butler Crest Dr
Saint Louis, MO 63128
Phone (314) 842-3535
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
Organizations & group practices 20
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Diagnostic Radiology, MO
-
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
- Pediatrics Physician
- Saint Louis, MO
- NPI 1073568226
-
- Pediatrics Physician
- Troy, MO
- NPI 1356412308
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kansas City, MO
- NPI 1124164082
-
- Home Health Agency
- Riverside, MO
- NPI 1144462029
-
- Durable Medical Equipment & Medical Supplies
- Riverside, MO
- NPI 1184768293
-
- Community/Retail Pharmacy
- Kansas City, MO
- NPI 1356408520
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": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1295964666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"address_2": "PROVIDER ENROLLMENT DEPT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-701-5200",
"fax_number": "816-302-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-234-3000",
"fax_number": "816-302-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "GRACE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "KS",
"license": "04-38167",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "MO",
"license": "2015018671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.