Individual provider Active NPI

William H Stark, MD

  • Anesthesiology Physician
  • Overland Park, KS
National Provider Identifier
1407804883
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0427896 Issued in KS
Practice address
12300 Metcalf Ave
Anesthesia Dept
Overland Park, KS 66213-1324
Phone
(816) 389-6030
Fax
(816) 389-6034
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0427896 KS Primary
Anesthesiology Physician 207L00000X R9N71 MO

Addresses

Primary practice location

12300 Metcalf Ave
Anesthesia Dept
Overland Park, KS 66213-1324

Mailing address

9233 Ward Pkwy
Suite 230
Kansas City, MO 64114-3366
Phone (816) 389-6030

Other identifiers 8

IdentifierTypeStateIssuer
050063985OtherMOMO RR MEDICARE NUMBER
050070668OtherKSKS RR MEDICARE NUMBER
17456024OtherKSBCBS NUMBER
17456084OtherMOBCBS NUMBER
100126100BMedicaidMO
203000039MedicaidMO
100126100DMedicaidKS
203000070MedicaidKS

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
I20051104000669 KS Practitioner - Anesthesiology 5294753513 Reassigns benefits to 1 organization
I20140429001853 MO Practitioner - Anesthesiology 5294753513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Columbia School of Medicine, 1987
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)

1001 6TH Ave
Leavenworth, KS 66048-3248

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

12330 Metcalf Ave
Overland Park, KS 66213-1324

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

711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0427896KSMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Jan 1, 2018 Accepting new patients
Westport Anesthesia Services of Missouri, PC Anesthesiology Past Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients
Westport Anesthesia Services of Kansas PA Anesthesiology Past Accepting new patients

Locations

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

5405 W 151st St
Leawood, KS 66224
Phone (913) 323-8830

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

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

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

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

Organizations & group practices 4

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 4

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407804883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 WARD PKWY",
            "address_2": "SUITE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143366",
            "telephone_number": "816-389-6030",
            "fax_number": "816-389-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 METCALF AVE",
            "address_2": "ANESTHESIA DEPT",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "816-389-6030",
            "fax_number": "816-389-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "0427896",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "R9N71",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO RR MEDICARE NUMBER",
            "identifier": "050063985",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS RR MEDICARE NUMBER",
            "identifier": "050070668",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "17456024",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "17456084",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126100B",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203000039",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126100D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203000070",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.