Individual provider Active NPI

Susana D'Amico, MD, FACE

  • Endocrinology, Diabetes & Metabolism Physician
  • Butler, MO
National Provider Identifier
1366624215
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2002018371 Issued in MO
Practice address
615 W Nursery St
Butler, MO 64730-1840
Phone
(660) 200-7000
NPI assigned
Dec 3, 2007
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2002018371 MO Primary

Addresses

Primary practice location

615 W Nursery St
Butler, MO 64730-1840

Mailing address

2799 N Washington St
Chillicothe, MO 64601-1599
Phone (660) 214-8420

Other practice location 1

2799 N Washington St
Chillicothe, MO 64601-2902
Phone (660) 214-8420

Other practice location 2

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5892

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://www.bcmhospital.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080826000133 MO Practitioner - EndocrinologyPractitioner - Internal Medicine 5294800298 Reassigns benefits to 5 organizations
I20170418000231 KS Practitioner - Endocrinology 5294800298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Bates County Memorial HospitalGroup PAC ID 8123937356, 66 clinicians

Practice addresses (Care Compare)

20 NE Saint Lukes Blvd
Suite 300
Lees Summit, MO 64086-6001
Phone (816) 932-2700

421 S Maple St
Garnett, KS 66032-1334
Phone (785) 204-8000

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
88.35
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002018371MOMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mawd Pathology Group Inc Current Accepting new patients
Saint Luke's Physician Group Inc Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2018 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Apr 11, 2017 Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Western Missouri Medical Center Current Accepting new patients
Bates County Memorial Hospital CurrentSince May 1, 2017 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Apr 10, 2017 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Apr 10, 2017 Accepting new patients
Bates County Memorial Hospital Current Accepting new patients
Bates County Memorial Hospital CurrentSince May 1, 2017 Accepting new patients
Saint Luke's Hospital of Trenton Current Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince Apr 13, 2017 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Apr 11, 2017 Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince Apr 13, 2017 Accepting new patients
Sjmgroup Endocrinology, Diabetes & Metabolism Past Accepting new patients
Saint Lukes Hospital of Trenton Past Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

2791 N Washington St
Chillicothe, MO 64601
Phone (816) 646-1480

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

4321 Washington St
Ste 6100
Kansas City, MO 64111
Phone (816) 932-2707

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

20 NE Saint Lukes Blvd
Ste 300
Lees Summit, MO 64086
Phone (816) 932-2700

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

189 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5750

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • Direct secure messaging: sdamico96879@direct.saint-lukes.org
  • Direct secure messaging: susana.damico.1@15058.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 8

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1366624215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 N WASHINGTON ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011599",
            "telephone_number": "660-214-8420",
            "fax_number": "660-214-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W NURSERY ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301840",
            "telephone_number": "660-200-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "MO",
            "postal_code": "646012902",
            "country_code": "US",
            "telephone_number": "660-214-8420",
            "fax_number": "660-214-8429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 Iowa Blvd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646838343",
            "country_code": "US",
            "telephone_number": "660-358-5892",
            "fax_number": "660-358-5878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "SUSANA",
        "name_prefix": "Dr.",
        "credential": "MD, FACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2002018371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.bcmhospital.com/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "http://www.bcmhospital.com/",
            "address_1": "615 W Nursery St",
            "city": "Butler",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647301840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butler, MO

Sources for this page

Verify at the official NPI Registry.