Individual provider Active NPI

Alisa R Ash, M.D.

  • Obstetrics & Gynecology Physician
  • Independence, MO
National Provider Identifier
1346441342
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2009005433 Issued in MO
Practice address
19550 E 39TH St S
Suite 300
Independence, MO 64057-2303
Phone
(816) 478-0220
Fax
(816) 795-3456
NPI assigned
May 29, 2007
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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 2009005433 MO Primary

Addresses

Primary practice location

19550 E 39TH St S
Suite 300
Independence, MO 64057-2303

Mailing address

19550 E 39TH St S
Suite 300
Independence, MO 64057-2303
Phone (816) 478-0220

Other identifiers 1

IdentifierTypeStateIssuer
1346441342MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alisa.ash@digichart.direct-ci.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000091 MO Practitioner - Obstetrics/Gynecology 6305999525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Womens Clinic PCGroup PAC ID 2062958119, 8 clinicians

Practice addresses (Care Compare)

19550 E 39TH St S
Independence, MO 64057-2306
Phone (816) 478-0220

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Womens Clinic PC Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Midwest Division - LRHC LLC CurrentSince May 30, 2012 Accepting new patients
Signature Medical Group of KC, PA CurrentSince Jan 1, 2014 Accepting new patients
Signature Medical Group of KC, P.a. CurrentSince Jan 1, 2014 Accepting new patients
Centerpoint Medical Center of Independence, LLC Past Accepting new patients

Locations

19550 E 39th St S
Ste 300
Independence, MO 64057
Phone (816) 478-0220

1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

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, 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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1346441342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 300",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572303",
            "telephone_number": "816-478-0220",
            "fax_number": "816-795-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 300",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572303",
            "telephone_number": "816-478-0220",
            "fax_number": "816-795-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASH",
        "first_name": "ALISA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2009005433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346441342",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alisa.ash@digichart.direct-ci.com",
            "affiliation": "N",
            "address_1": "19550 E 39th St S",
            "address_2": "Suite 300",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640572303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.