Active NPI
John E Ervin, MD
- Rheumatology Physician
- Kansas City, MO
National Provider Identifier
1376565549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- R7363
- 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.
-
- Rheumatology Physician
- Kansas City, MO
- NPI 1104982735
NPD (past) RHEUMATOLOGY
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160225000045 | MO | Order and Referring Only - Internal Medicine | 6103923594 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7363 | MO | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis and Osteoporosis Associates, P.C. | Rheumatology | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | R7363 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| X233714 | Other | KS | MEDICARE 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.