Active NPI
Sonny Thanh Phan, CRNA
- Certified Registered Nurse Anesthetist
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 127704
- Practice address
- 19600 E 39TH St S
Independence, MO 64057-2301 - Phone
- (816) 698-7000
- Fax
- (913) 428-2951
- NPI assigned
- May 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 127704 | MO | Primary |
Addresses
Primary practice location
19600 E 39TH St S
Independence, MO 64057-2301
Mailing address
8717 W 110TH St Ste 600
Overland Park, KS 66210-2126
Phone (913) 428-2900
Other practice location 1
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-2000
Other practice location 2
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Missouri, Kansas City, School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
19550 E 39TH St
100 Centerpoint Ambulatory Surgery Center
Independence, MO 64057-1917
Phone (816) 478-2600
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
Hospital & facility affiliations
- University of Missouri Health Care
- Centerpoint Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 58.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127704 | MO | MD | Certified Registered Nurse Anesthetist |
| 2020013534 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| St Lukes East Anesthesia Services,P.C. | Current | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
1100 Virginia Ave
Columbia, MO 65212
Phone (573) 882-2663
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
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
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
120 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5800
100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097
5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS, Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
MO
-
- Anesthesiology Physician
- Lees Summit, MO
- NPI 1649283177
-
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1366065211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 W 110TH ST STE 600",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102126",
"telephone_number": "913-428-2900",
"fax_number": "913-428-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19600 E 39TH ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572301",
"telephone_number": "816-698-7000",
"fax_number": "913-428-2951"
}
],
"practiceLocations": [
{
"address_1": "4401 Wornall Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641113220",
"country_code": "US",
"telephone_number": "816-932-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5325 Faraon St",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645063488",
"country_code": "US",
"telephone_number": "816-271-6350",
"fax_number": "816-271-6753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "SONNY",
"middle_name": "THANH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "127704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.