Individual provider Active NPI

Cameron Tusken, M.D.

  • Anesthesiology Physician
  • Kansas City, MO
National Provider Identifier
1376962738
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2018013617 Issued in MO
Practice address
1318 E 104TH St
Kansas City, MO 64131-4504
Phone
(816) 256-5200
NPI assigned
Apr 14, 2014
Last updated
May 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0440931 KS
Anesthesiology Physician 207L00000X 2018013617 MO Primary

Addresses

Primary practice location

1318 E 104TH St
Kansas City, MO 64131-4504

Mailing address

29800 W 127TH St
Olathe, KS 66061-8636
Phone (913) 405-7814

Other practice location 1

5721 W 119th St
Overland Park, KS 66209
Phone (913) 498-6000

Other practice location 2

Kumc 3901 Rainbow Blvd MS 1034
Kansas City, KS 66160-0001
Phone (913) 588-3302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20180822003123 KS Practitioner - Anesthesiology 5597061077 Reassigns benefits to 1 organization
I20220808002781 MO Practitioner - Anesthesiology 5597061077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamos Anesthesia Services LLCGroup PAC ID 1052748589, 12 clinicians

Practice addresses (Care Compare)

1318 E 104TH St
Blue River Surgery Center
Kansas City, MO 64131-4504
Phone (816) 256-5200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0440931KSMDAnesthesiology Physician
2018013617MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PA Anesthesiology CurrentSince Aug 1, 2018 Accepting new patients
Dynamos Anesthesia Services LLC Anesthesiology CurrentSince Oct 19, 2024 Accepting new patients

Locations

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

1318 E 104th St
Kansas City, MO 64131
Phone (816) 256-5200

1318 E 104th St
#C
Kansas City, MO 64131
Phone (816) 256-5200

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

901 Heartland Rd
Ste 1820
Saint Joseph, MO 64506
Phone (816) 232-8877

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1376962738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29800 W 127TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618636",
            "telephone_number": "913-405-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314504",
            "telephone_number": "816-256-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "66209",
            "country_code": "US",
            "telephone_number": "913-498-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Kumc 3901 Rainbow Blvd MS 1034",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661600001",
            "country_code": "US",
            "telephone_number": "913-588-3302",
            "fax_number": "913-588-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUSKEN",
        "first_name": "CAMERON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "0440931",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2018013617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.