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Individual provider Active NPI

Chadwick Byle, MD

  • Sports Medicine (Family Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1336535145
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
2018007739 Issued in MO
Practice address
4321 Washington St Ste 3000
Kansas City, MO 64111-5928
Phone
(816) 932-3100
Fax
(816) 932-6871
NPI assigned
Apr 8, 2015
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018007739 MO
Student in an Organized Health Care Education/Training Program 390200000X MO
Sports Medicine (Family Medicine) Physician 207QS0010X 2018007739 MO Primary

Addresses

Primary practice location

4321 Washington St Ste 3000
Kansas City, MO 64111-5928

Mailing address

4321 Washington St Ste 3000
Kansas City, MO 64111-5928
Phone (816) 932-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190806001245 MO Practitioner - Sports MedicinePractitioner - Family Practice 2769784669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of Missouri, Columbia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

20 NE Saint Lukes Blvd
350 Saint Lukes Medical Group
Lee's Summit, MO 64086-6001
Phone (816) 347-5600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc Family Medicine CurrentSince Jul 31, 2019 Accepting new patients

Locations

4321 Washington St
Ste 3000
Kansas City, MO 64111
Phone (816) 932-3100

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

20 NE Saint Lukes Blvd
Ste 350
Lees Summit, MO 64086
Phone (816) 347-5600

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Organizations & group practices 1

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 9

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1336535145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST STE 3000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115928",
            "telephone_number": "816-932-3100",
            "fax_number": "816-932-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST STE 3000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115928",
            "telephone_number": "816-932-3100",
            "fax_number": "816-932-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLE",
        "first_name": "CHADWICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018007739",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MO",
            "license": "2018007739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.