Individual provider Active NPI

Sonny Thanh Phan, CRNA

  • Certified Registered Nurse Anesthetist
  • Independence, MO
National Provider Identifier
1366065211
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
127704 Issued in MO
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

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200604000814 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133540883 Reassigns benefits to 4 organizations
I20200625002068 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133540883 Reassigns benefits to 1 organization

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
The Curators of the University of MissouriGroup PAC ID 4486759560, 1,108 clinicians
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians

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 Hospital, Columbia, MO, CCN 260141
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127704MOMDCertified Registered Nurse Anesthetist
2020013534MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2020 Accepting new patients
The Curators of the University of Missouri CurrentSince Apr 3, 2024 Accepting new patients
Curators of the University of Missouri CurrentSince Apr 3, 2024 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Apr 27, 2021 Accepting new patients
St Lukes East Anesthesia Services,P.C. CurrentSince May 1, 2025 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.