Individual provider Active NPI

Johanne Adler

  • Internal Medicine Physician
  • Saint Joseph, MO
National Provider Identifier
1366939480
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2021027348 Issued in MO
Practice address
5514 Corporate Dr Ste 120
Saint Joseph, MO 64507-7754
Phone
(816) 271-1350
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2021027348 MO Primary

Addresses

Primary practice location

5514 Corporate Dr Ste 120
Saint Joseph, MO 64507-7754

Mailing address

161 Fallon Ave
Elmont, NY 11003-3609
Phone (516) 725-3927

Other practice location 1

5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-2000

Other names 1

  • Johanne Josue Former name

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
I20210924001430 MO Practitioner - Internal Medicine 6305184656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group of Kansas City LLCGroup PAC ID 8921091455, 11 clinicians

Practice addresses (Care Compare)

2330 E Meyer Blvd
Suite 101
Kansas City, MO 64132-1140
Phone (816) 276-9800

Hospital & facility affiliations

  • Research Medical Center Hospital, Kansas City, MO, CCN 260027

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Merit-based Incentive Payment System (MIPS)

Final score
88.17 of 100Reported as group
Quality
84.74
Promoting interoperability
99
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021027348MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Internal Medicine CurrentSince Sep 29, 2021 Accepting new patients
Medical Group of Kansas City, LLC Internal Medicine CurrentSince Oct 14, 2024 Accepting new patients
Heartland Regional Medical Center CurrentSince Sep 29, 2021 Accepting new patients
Heartland Regional Medical Center Internal Medicine Current Accepting new patients

Locations

2820 E Rock Haven Rd
Ste 205
Harrisonville, MO 64701
Phone (816) 363-7710

6675 Holmes Rd
Ste 550
Kansas City, MO 64131
Phone (816) 363-7710

2330 E Meyer Blvd
Ste 101
Kansas City, MO 64132
Phone (816) 276-9800

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5514 Corporate Dr
Ste 120
Saint Joseph, MO 64507
Phone (816) 271-1350

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: johanne.adler@hca2.eclinicaldirectplus.com

Organizations & group practices 4

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 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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1366939480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FALLON AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033609",
            "telephone_number": "516-725-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 CORPORATE DR STE 120",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645077754",
            "telephone_number": "816-271-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5645 Main St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555045",
            "country_code": "US",
            "telephone_number": "718-670-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADLER",
        "first_name": "JOHANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2021027348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNE",
            "last_name": "JOSUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.