Active NPI
Karl W Grant, D.O.
- Family Medicine Physician
- Saint Joseph, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2016008771
- Practice address
- 5001 Lake Ave
Saint Joseph, MO 64504-1170 - Phone
- (162) 387-7888
- NPI assigned
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-25402 | KS | |
| Family Medicine Physician | 207Q00000X | 2016008771 | MO | Primary |
Addresses
Primary practice location
5001 Lake Ave
Saint Joseph, MO 64504-1170
Mailing address
PO Box 803886
Kansas City, MO 64180-3886
Phone (816) 271-8265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336571900 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Karl.Grant@BHM.gehrimeddirect.com |
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 |
|---|---|---|---|---|
| I20160727002086 | MO | Practitioner - Family Practice | 5799721833 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-25402 | KS | MD | Family Medicine Physician |
| 2016008771 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CH Specialty Services Mo LLC | Current | Accepting new patients | |
| Barnes Health LLC | Current | Accepting new patients | |
| Urgent Care Express LLC | Current | Accepting new patients | |
| Emergency Services of Kansas, PA | Family Medicine | Past | Accepting new patients |
Locations
403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515
2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800
1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930
11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104
621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300
7642 N Oak Trfy
Kansas City, MO 64118
Phone (816) 468-1411
400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200
2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894
4776 Verona Dr
Saint Joseph, MO 64506
Phone (816) 396-9500
11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066
4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471
2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803
1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312
1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522
Interoperability endpoints
- karl.grant@bhm.gehrimeddirect.com
Organizations & group practices 5
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, MO
- NPI 1396999686
MO
-
- Internal Medicine Physician
- Newton, KS
- NPI 1104864503
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1336571900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 803886",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641803886",
"telephone_number": "816-271-8265",
"fax_number": "168-232-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 LAKE AVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645041170",
"telephone_number": "162-387-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "KARL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-06",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-25402",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2016008771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336571900",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Karl.Grant@BHM.gehrimeddirect.com",
"affiliation": "N",
"address_1": "2101 Corona Rd Ste 102",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652032582",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.