Jeffrey R Althoff, MD

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

R7N50 Issued in MO

Practice address

930 Carondelet Dr Ste 200
Kansas City, MO 64114-4698

Phone

(816) 943-5690

Fax

(816) 943-3156

NPI assigned

Jul 20, 2005

Last updated

Sep 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prime Healthcare Kansas City - Physician Services LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1427449487

  KS

  Medicare reassignment NPD
• Carondelet Emergency Physicians Inc

  • Emergency Medicine Physician
  • Kansas City, MO
  • NPI 1558363838
  NPD (past)
• Hyperbaric Oxygen of Kansas City Inc.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Kansas City, MO
  • NPI 1053401539
  NPD (past)
• Prapas Gerjarusak MD PA

  dba Infectious Disease Consultants

  • Infectious Disease Physician
  • Leawood, KS
  • NPI 1033303763
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1316946304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2747",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662012747",
            "telephone_number": "800-968-6866",
            "fax_number": "616-532-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CARONDELET DR STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144698",
            "telephone_number": "816-943-5690",
            "fax_number": "816-943-3156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21250 W 151st St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660618100",
            "country_code": "US",
            "telephone_number": "913-390-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8745 James A Reed Rd",
            "address_purpose": "LOCATION",
            "city": "Raytown",
            "state": "MO",
            "postal_code": "641384414",
            "country_code": "US",
            "telephone_number": "816-761-4744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6509 W 103rd St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121728",
            "country_code": "US",
            "telephone_number": "913-649-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 W 143rd St",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662249505",
            "country_code": "US",
            "telephone_number": "913-249-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12100 W 109th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662101200",
            "country_code": "US",
            "telephone_number": "913-469-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10425 Chestnut Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641373201",
            "country_code": "US",
            "telephone_number": "816-763-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 Wornall Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144359",
            "country_code": "US",
            "telephone_number": "816-942-0994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12500 W 137th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662214183",
            "country_code": "US",
            "telephone_number": "913-730-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 Antioch Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662042622",
            "country_code": "US",
            "telephone_number": "913-383-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12300 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662131324",
            "country_code": "US",
            "telephone_number": "913-317-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093722",
            "country_code": "US",
            "telephone_number": "913-498-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Indian Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662074068",
            "country_code": "US",
            "telephone_number": "913-890-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 W 123rd St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093193",
            "country_code": "US",
            "telephone_number": "913-317-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662062063",
            "country_code": "US",
            "telephone_number": "913-648-4530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 E 125th St",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "MO",
            "postal_code": "640301884",
            "country_code": "US",
            "telephone_number": "816-765-7714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12000 LaMar Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662092705",
            "country_code": "US",
            "telephone_number": "913-663-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13800 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662231200",
            "country_code": "US",
            "telephone_number": "800-989-0525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 Quivira Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152306",
            "country_code": "US",
            "telephone_number": "913-541-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144670",
            "country_code": "US",
            "telephone_number": "816-941-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTHOFF",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "MDR7N50",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MO",
            "license": "MDR7N50",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "KS",
            "license": "0431677",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "MO",
            "license": "R7N50",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100188060D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202935821",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100188060A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18711019",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alternative Opportunities, Inc. (The Community of the Good Shepherd)
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• Alternative Opportunities, Inc. (The Community of the Good Shepherd)
• Alternative Opportunties, Inc. (The Community of the Good Shepherd)
• Bethany Hyde Althoff, LPC, RPT
• Keelin Althoff, M.S., CCC-SLP
• Stephanie Jill Altic, M.A. CCC-SLP
• Halley Altieri
• Brian David Altman, M.D.
• Anne Altschul

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.