Individual provider Active NPI

Peter Lau, MD

  • Vascular Surgery Physician
  • Kansas City, MO
National Provider Identifier
1407276959
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2021010895 Issued in MO
Practice address
2750 Clay Edwards Dr Ste 304
Kansas City, MO 64116-3256
Phone
(816) 842-5555
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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
Vascular Surgery Physician 2086S0129X 2021010895 MO Primary

Addresses

Primary practice location

2750 Clay Edwards Dr Ste 304
Kansas City, MO 64116-3256

Mailing address

420 Delaware St. SE
Mayo Mail Code 195
Minneapolis, MN 55455

Other practice location 1

1802 E 19th St
Kravis Building
Tulsa, OK 74104-5403
Phone (918) 634-7500

Other practice location 2

420 Delaware St. SE
Mayo Mail Code 195
Minneapolis, MN 55455
Phone (612) 273-8383

Other practice location 3

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20210917000195 MO Practitioner - Vascular SurgeryPractitioner - General Surgery 5496181422 Reassigns benefits to 2 organizations
I20251205002745 KS Practitioner - Vascular SurgeryPractitioner - General Surgery 5496181422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Aortic and Vascular Institute PCGroup PAC ID 7911919360, 5 clinicians
Kansas City Vascular and General Surgery Group LLCGroup PAC ID 8224168927, 22 clinicians

Practice addresses (Care Compare)

2750 Clay Edwards Dr
Suite 304
North Kansas City, MO 64116-3256
Phone (816) 842-5555

5100 W 110TH St
Suite 300
Overland Park, KS 66211-1215
Phone (913) 754-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
87.79
Promoting interoperability
97
Improvement activities
40
Cost
74.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Leg revascularization (restoring blood flow)30
Removal of tissue30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021010895MOMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Vascular & General Surgery Group LLC Vascular Surgery CurrentSince Dec 1, 2025 Accepting new patients
Midwest Aortic & Vascular Institute, P.C. Vascular Surgery CurrentSince Nov 4, 2021 Accepting new patients

Locations

5100 W 110th St
Ste 300
Overland Park, KS 66211
Phone (913) 449-1297

17065 S Outer Rd
Belton, MO 64012
Phone (816) 322-2000

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

2521 Glenn Hendren Dr
Ste 112
Liberty, MO 64068
Phone (816) 781-5006

2750 Clay Edwards Dr
Ste 320
North Kansas City, MO 64116
Phone (816) 421-0188

2750 Clay Edwards Dr
Ste 304
North Kansas City, MO 64116
Phone (816) 842-5555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1811/brand/1/csg/1/fhir/r4
  • Direct secure messaging: peter.lau.1@1811.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1407276959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST. SE",
            "address_2": "MAYO MAIL CODE 195",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 304",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163256",
            "telephone_number": "816-842-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 E 19th St",
            "address_2": "Kravis Building",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741045403",
            "country_code": "US",
            "telephone_number": "918-634-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Delaware St. SE",
            "address_2": "Mayo Mail Code 195",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55455",
            "country_code": "US",
            "telephone_number": "612-273-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAU",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2021010895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.