Individual provider Active NPI

Benjamin David Fangman

  • Hematology & Oncology Physician
  • North Kansas City, MO
National Provider Identifier
1417451162
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2024024367 Issued in MO
Practice address
2750 Clay Edwards Dr Lowr Level
North Kansas City, MO 64116-3237
Phone
(816) 691-5216
Fax
(816) 346-7869
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2024024367 MO Primary
Internal Medicine Physician 207R00000X T0201 TX
Hematology & Oncology Physician 207RH0003X T0201 TX

Addresses

Primary practice location

2750 Clay Edwards Dr Lowr Level
North Kansas City, MO 64116-3237

Mailing address

9411 N Oak Trfy Ste LL1
Kansas City, MO 64155-2262
Phone (816) 691-1655

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
I20240703002094 KS Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3971993197 Reassigns benefits to 1 organization
I20240807002892 MO Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3971993197 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

1600 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-8171

17053 S Outer Rd
FL 1
Belton, MO 64012-2165
Phone (816) 974-5050

2750 Clay Edwards Dr
Lowr Level
North Kansas City, MO 64116-3237
Phone (816) 691-2280

8919 Parallel Pkwy
Suite 326W
Kansas City, KS 66112-1655
Phone (913) 804-4031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.6 of 100Reported as apm
Quality
86.61
Promoting interoperability
81
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0201TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Current Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Jul 1, 2025 Accepting new patients
American Oncology Partners PA Hematology & Oncology CurrentSince Dec 2, 2024 Accepting new patients
Meritas Health Corporation CurrentSince Sep 1, 2024 Accepting new patients
Meritas Health Corporation Hematology & Oncology CurrentSince Sep 1, 2024 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Golden Valley Memorial Hospital District Current Accepting new patients
American Oncology Partners, P.a. Hematology & Oncology PastSince Aug 10, 2025 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

8929 Parallel Pkwy
Ste 326
Kansas City, KS 66112
Phone (816) 601-3990

17053 S Outer Rd
Fl 1
Belton, MO 64012
Phone (816) 974-5050

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2316 E Meyer Blvd
#1E
Kansas City, MO 64132
Phone (816) 974-5050

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

802 E Highway 60
Monett, MO 65708
Phone (417) 882-4880

2750 Clay Edwards Dr
Lowr
North Kansas City, MO 64116
Phone (816) 691-2880

3850 S National Ave
Ste 600
Springfield, MO 65807
Phone (417) 882-4880

Interoperability endpoints

  • Direct secure messaging: bfangman81053@direct.phhs.org

Organizations & group practices 9

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1417451162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY STE LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-691-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR LOWR LEVEL",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "816-691-5216",
            "fax_number": "816-346-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANGMAN",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2024024367",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T0201",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "T0201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.