NPIMap

Individual provider Active NPI

Alexander F. Pak, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kansas City, MO
National Provider Identifier
1376594614
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2001008014 Issued in MO
Practice address
4330 Wornall Rd Ste 50
Kansas City, MO 64111-3201
Phone
(816) 931-3312
Fax
(816) 531-9862
NPI assigned
May 12, 2006
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2001008014 MO Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 61755 CO

Addresses

Primary practice location

4330 Wornall Rd Ste 50
Kansas City, MO 64111-3201

Mailing address

PO Box 7411931
Chicago, IL 60674-1931
Phone (816) 931-3312

Other identifiers 2

IdentifierTypeStateIssuer
30005365700001MedicaidKS
205266117MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028002166 MO Practitioner - Thoracic Surgery 5890781702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Wisconsin School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Surgeons of Kansas City IncGroup PAC ID 5193878072, 36 clinicians

Practice addresses (Care Compare)

4330 Wornall Rd
Suite 50
Kansas City, MO 64111-3201
Phone (816) 931-3312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.87 of 100Reported as individual
Quality
92.68
Promoting interoperability
100
Improvement activities
40
Cost
76.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)32
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61755COMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc PastSince Nov 3, 2025 Accepting new patients
HCA Healthone LLC Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
Midamerica Heart & Lung Surgeons, P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Thoracic and Vascular Surgeons PA Past Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1376594614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411931",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606741931",
            "telephone_number": "816-931-3312",
            "fax_number": "816-531-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD STE 50",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113201",
            "telephone_number": "816-931-3312",
            "fax_number": "816-531-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "ALEXANDER",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2001008014",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CO",
            "license": "61755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005365700001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205266117",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.