Individual provider Active NPI

John E Ervin, MD

  • Rheumatology Physician
  • Kansas City, MO
National Provider Identifier
1376565549
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
R7363 Issued in MO
Practice address
1010 Carondelet Dr
Suite 426
Kansas City, MO 64114-4859
Phone
(816) 943-1292
Fax
(816) 268-6976
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160225000045 MO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6103923594

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7363MOMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Osteoporosis Associates, P.C. Rheumatology PastSince Feb 1, 2007 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X R7363 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1010 Carondelet Dr
Suite 426
Kansas City, MO 64114-4859

Mailing address

1010 Carondelet Dr
Suite 426
Kansas City, MO 64114-4859
Phone (816) 943-1292

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
X233714OtherKSMEDICARE PROVIDER NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2007.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1376565549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 426",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-943-1292",
            "fax_number": "816-268-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 426",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-943-1292",
            "fax_number": "816-268-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "R7363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "X233714",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.