Individual provider Active NPI

Chrisostom Karunda John, NP

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1407442494
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021001540 Issued in MO
Practice address
4320 Wornall Rd Ste 530
Kansas City, MO 64111-5942
Phone
(816) 932-2836
Fax
(816) 932-9868
NPI assigned
Dec 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-79803-072 KS
Family Nurse Practitioner 363LF0000X 2021001540 MO Primary

Addresses

Primary practice location

4320 Wornall Rd Ste 530
Kansas City, MO 64111-5942

Mailing address

901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 932-2836

Other practice location 1

9029 Renner Blvd Apt 2101
Lenexa, KS 66219-3033
Phone (913) 548-6565

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lenexa Other

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210927000781 MO Practitioner - Nurse Practitioner 2567869043 Reassigns benefits to 1 organization
I20220408000417 KS Practitioner - Nurse Practitioner 2567869043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

1001 6TH Ave
Leavenworth, KS 66048-3248

110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

12330 Metcalf Ave
Overland Park, KS 66213-1324

4320 Wornall Rd
Kansas City, MO 64111-5941
Phone (816) 932-2800

4320 Wornall Rd
Suite 530
Kansas City, MO 64111-5942
Phone (816) 932-2836

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000

5844 NW Barry Rd
Kansas City, MO 64154-1483

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-79803-072KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Jul 11, 2022 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Apr 6, 2022 Accepting new patients
Saint Lukes Physician Group II LLC PastSince Jun 30, 2012 Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12330 Metcalf Ave
Ste 400
Overland Park, KS 66213
Phone (913) 317-7990

12330 Metcalf Ave
Ste 500B
Overland Park, KS 66213
Phone (816) 932-0288

4320 Wornall Rd
Ste 530
Kansas City, MO 64111
Phone (816) 753-4312

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

5844 NW Barry Rd
Ste 120
Kansas City, MO 64154
Phone (816) 472-9595

120 NE Saint Lukes Blvd
Ste 220
Lees Summit, MO 64086
Phone (816) 347-5800

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: cjohn209131@direct.saint-lukes.org

Organizations & group practices 3

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": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1407442494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-932-2836",
            "fax_number": "816-932-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD STE 530",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115942",
            "telephone_number": "816-932-2836",
            "fax_number": "816-932-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9029 Renner Blvd Apt 2101",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662193033",
            "country_code": "US",
            "telephone_number": "913-548-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "CHRISOSTOM",
        "middle_name": "KARUNDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-15",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79803-072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021001540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lenexa",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Lenexa",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Lenexa",
            "address_1": "9029 Renner Blvd Apt 2101",
            "city": "Lenexa",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662193033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.