Individual provider Active NPI

Michael A Sedlacek, MD

  • Anesthesiology Physician
  • North Kansas City, MO
National Provider Identifier
1356442313
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD 2002012314 Issued in MO
Practice address
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone
(816) 691-2021
Fax
(816) 346-7690
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD21097 ME
Anesthesiology Physician 207L00000X MD 2002012314 MO Primary

Addresses

Primary practice location

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254

Mailing address

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021

Other practice location 1

360 Broadway
Bangor, ME 04401-3900
Phone (207) 907-1430

Other identifiers 1

IdentifierTypeStateIssuer
205873714MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msedlacek727794@direct-prd.goodhelpconnections.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, ND, ME4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040304001014 MO Practitioner - Anesthesiology 8123916954 Reassigns benefits to 6 organizations
I20050413000424 KS Practitioner - Anesthesiology 8123916954 Reassigns benefits to 1 organization
I20110608000601 ND Practitioner - Anesthesiology 8123916954 Reassigns benefits to 1 organization
I20150521000373 ME Practitioner - Anesthesiology 8123916954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

4940 W 137TH St
Leawood, KS 66224-5940
Phone (469) 863-9978

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4726NDMDSocial Worker
MD 2002012314MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Oct 1, 2012 Accepting new patients
St. Joseph Hospital CurrentSince Jan 28, 2019 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Dec 16, 2022 Accepting new patients
Meritas Health Corporation Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Meritas Health Corporation Current Accepting new patients
SSM Health Care Group Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Meritas Health Corporation CurrentSince Jan 1, 2020 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Jan 26, 2020 Accepting new patients
Sanford Bismarck CurrentSince Jun 3, 2024 Accepting new patients
Ozarks Medical Center CurrentSince Oct 1, 2012 Accepting new patients
Anesthesia Associates of Kansas City PA Anesthesiology CurrentSince Nov 3, 2022 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Missouri Basin Anesthesia, PLLC Anesthesiology Past Accepting new patients
St. Alexius Heart & Lung Clinic, LLC Anesthesiology Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations (25 of 31)

4940 W 137th St
Overland Park, KS 66224
Phone (913) 232-9846

11340 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (816) 786-4901

8800 Ballentine St
Shawnee Mission, KS 66214
Phone (816) 943-1111

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

19550 E 39th St S
Ste 100
Independence, MO 64057
Phone (816) 478-2600

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

200 NE 54th St
Unit 200
Kansas City, MO 64118

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

2861 NE Independence Ave
Ste 101
Lees Summit, MO 64064
Phone (816) 579-1500

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785

10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 16

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.

View all 16

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1356442313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 240",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163254",
            "telephone_number": "816-691-2021",
            "fax_number": "816-346-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 240",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163254",
            "telephone_number": "816-691-2021",
            "fax_number": "816-346-7690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013900",
            "country_code": "US",
            "telephone_number": "207-907-1430",
            "fax_number": "207-907-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDLACEK",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "MD21097",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "MD 2002012314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205873714",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msedlacek727794@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "360 Broadway",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044013900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.