Individual provider Active NPI

Gerald M Mancuso, M.D.

  • Interventional Cardiology Physician
  • Kansas City, MO
National Provider Identifier
1427012574
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
R1K08 Issued in MO
Practice address
1000 Carondelet Dr Ste 201B
Kansas City, MO 64114
Phone
(913) 956-2250
Fax
(913) 956-2251
NPI assigned
Apr 14, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R1K08 MO
Cardiovascular Disease Physician 207RC0000X R1K08 MO
Interventional Cardiology Physician 207RI0011X R1K08 MO Primary
Interventional Cardiology Physician 207RI0011X 04-22976 KS

Addresses

Primary practice location

1000 Carondelet Dr Ste 201B
Kansas City, MO 64114

Mailing address

1000 Carondelet Dr Ste 201B
Kansas City, MO 64114-4673
Phone (913) 956-2250

Other practice location 1

5721 W 119th St
Overland Park, KS 66209-3722
Phone (913) 498-6000

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
I20051230000502 MO Practitioner - Cardiovascular Disease (Cardiology) 3375565518 Reassigns benefits to 2 organizations
I20130926000314 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375565518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of California, Irvine, California College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Kansas City - Physician Services LLCGroup PAC ID 7315267325, 71 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (913) 956-2250

5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as group
Quality
61.06
Promoting interoperability
99
Improvement activities
40
Cost
74.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22976KSMDInterventional Cardiology Physician
R1K08MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Medical Group, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
St. Joseph Medical Center Cardiovascular Disease Past Accepting new patients
Carondelet Cardiology Services Cardiovascular Disease Past Accepting new patients
Prime Healthcare Services - Kansas City, LLC PastSince Oct 1, 2019 Accepting new patients
Kansas City Heart Group Cardiovascular Disease Past Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

8550 Marshall Dr
Overland Park, KS 66214
Phone (816) 941-1400

8550 Marshall Dr
Ste 200
Overland Park, KS 66214
Phone (913) 271-3344

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

203 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (816) 220-1117

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

7201 E 147th St
Grandview, MO 64030
Phone (816) 348-2260

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

1000 Carondelet Dr
Ofc
Kansas City, MO 64114
Phone (816) 943-7604

1000 Carondelet Dr
Ste 201B
Kansas City, MO 64114
Phone (816) 943-7600

373 W 101st Ter
Kansas City, MO 64114
Phone (816) 941-1400

930 Carondelet Dr
Ste 200
Kansas City, MO 64114
Phone (816) 941-7727

1741 NE Douglas St
Ste 200
Lees Summit, MO 64086
Phone (816) 246-0200

3200 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 523-4525

615 W 3rd St
Lees Summit, MO 64063
Phone (816) 524-3799

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1427012574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR STE 201B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "913-956-2250",
            "fax_number": "913-956-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR STE 201B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "913-956-2250",
            "fax_number": "913-956-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093722",
            "country_code": "US",
            "telephone_number": "913-498-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "GERALD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R1K08",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R1K08",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "R1K08",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "04-22976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.