Individual provider Active NPI

Carla R Pearman, M.D.

  • Obstetrics & Gynecology Physician
  • Lee's Summit, MO
National Provider Identifier
1336188002
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
110948 Issued in MO
Practice address
20 NE Saint Lukes Blvd
Suite 310
Lees Summit, MO 64086-6001
Phone
(816) 282-7809
Fax
(816) 282-7870
NPI assigned
Jun 6, 2006
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 110948 MO Primary

Addresses

Primary practice location

20 NE Saint Lukes Blvd
Suite 310
Lees Summit, MO 64086-6001

Mailing address

20 NE Saint Lukes Blvd
Suite 310
Lees Summit, MO 64086-6001
Phone (816) 282-7809

Other practice location 1

5701 W 119th St Ste 225
Overland Park, KS 66209-3721
Phone (913) 601-4020

Other identifiers 1

IdentifierTypeStateIssuer
208284901MedicaidMO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060221000477 MO Practitioner - Obstetrics/Gynecology 5890701395 Reassigns benefits to 2 organizations
I20170301000049 KS Practitioner - Obstetrics/Gynecology 5890701395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Group LLCGroup PAC ID 8123503901, 20 clinicians
Rockhill Women's Care IncGroup PAC ID 4082628219, 11 clinicians

Practice addresses (Care Compare)

20 NE Saint Lukes Blvd
310 Rockhill Women's Care
Lees Summit, MO 64086-6001
Phone (816) 282-7809

5701 W 119TH St
225 Menorah
Overland Park, KS 66209-3721
Phone (913) 601-4020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rockhill Women's Care, Inc CurrentSince Aug 15, 1996 Accepting new patients
Goppert - Trinity Family Care, LLC Past Accepting new patients

Locations

5701 W 119th St
Ste 225
Overland Park, KS 66209
Phone (913) 469-0550

1004 Carondelet Dr
Ste 315
Kansas City, MO 64114
Phone (816) 942-3339

20 NE Saint Lukes Blvd
Ste 310
Lees Summit, MO 64086
Phone (816) 282-7809

Organizations & group practices 3

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.

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1336188002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD",
            "address_2": "SUITE 310",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-282-7809",
            "fax_number": "816-282-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD",
            "address_2": "SUITE 310",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-282-7809",
            "fax_number": "816-282-7870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 W 119th St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093721",
            "country_code": "US",
            "telephone_number": "913-601-4020",
            "fax_number": "913-601-4022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARMAN",
        "first_name": "CARLA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-09-01",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "110948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208284901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.