Individual provider Active NPI

Robert J Kenney Jr., D.O.

  • Surgery Physician
  • Kansas City, MO
National Provider Identifier
1437185543
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2010005331 Issued in MO
Practice address
5844 NW Barry Rd Ste 120
Kansas City, MO 64154-1483
Phone
(816) 472-9595
Fax
(816) 472-1132
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2005018417 MO
Surgery Physician 208600000X 05-34228 KS
Surgery Physician 208600000X 2010005331 MO Primary

Addresses

Primary practice location

5844 NW Barry Rd Ste 120
Kansas City, MO 64154-1483

Mailing address

901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 502-7000

Other identifiers 5

IdentifierTypeStateIssuer
568912OtherMOCOVENTRY
3195109OtherMOUNITED HEALTHCARE
122039OtherMOHEALTHCARE USA
44172024OtherMOBCBS OF KC
745980OtherMOMISSOURI CARE

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
I20100818000585 MO Practitioner - General Surgery 7810021409 Reassigns benefits to 2 organizations
I20100819001114 KS Practitioner - General Surgery 7810021409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Arizona College of Osteopathic Medicine Mid Western University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

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

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)20
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005018417MOMDSurgery Physician
2010005331MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center Surgery Current Accepting new patients
Saint Luke'S Physician Group Inc Surgery CurrentSince Jan 31, 2019 Accepting new patients
Saint Luke'S North Hospital Past Accepting new patients
Saint Lukes Physician Group II LLC Surgery PastSince Jun 30, 2012 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

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

901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752

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

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

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Interoperability endpoints

  • Direct secure messaging: rkenney99600@direct.saint-lukes.org
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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 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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1437185543",
    "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": "816-502-7000",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD STE 120",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541483",
            "telephone_number": "816-472-9595",
            "fax_number": "816-472-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2005018417",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "05-34228",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2010005331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "568912",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3195109",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "122039",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "44172024",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI CARE",
            "identifier": "745980",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.