Individual provider Active NPI

Stephan L Pro, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Kansas City, KS
National Provider Identifier
1457507659
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
0435024 Issued in KS
Practice address
4000 Cambridge St # Ms 3017
Kansas City, KS 66160-8501
Phone
(913) 588-6100
Fax
(913) 535-2163
NPI assigned
Aug 7, 2008
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 04-35024 KS
Orthopaedic Surgery Physician 207X00000X MD28399 OR
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0435024 KS Primary

Addresses

Primary practice location

4000 Cambridge St # Ms 3017
Kansas City, KS 66160-8501

Mailing address

4000 Cambridge St
Kansas City, KS 66160-8501
Phone (913) 588-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000697 KS Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8224174818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

10710 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227

10720 Nall Ave
Overland Park, KS 66211-1206

10790 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227

1130 W 4TH St
Lawrence, KS 66044-1333

12000 W 151St St
Olathe, KS 66062-7200
Phone (913) 588-1227

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-2800

3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144

6265 Rock Chalk Dr
Lawrence, KS 66049-5232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0435024KSMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Newman Memorial County Hospital Orthopaedic Surgery Current Accepting new patients
Kansas University Physicians Inc Orthopaedic Surgery CurrentSince Oct 24, 2024 Accepting new patients
Kansas University Physicians Inc CurrentSince Oct 24, 2024 Accepting new patients
Newman Memorial County Hospital Orthopaedic Surgery CurrentSince Feb 10, 2020 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Newman Memorial County Hospital CurrentSince Feb 10, 2020 Accepting new patients
Orthopedics Northwest PC Past Accepting new patients
Lawrence Memorial Hospital Past Accepting new patients

Locations

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

1301 W 12th Ave
Ste 105
Emporia, KS 66801
Phone (620) 340-6181

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

1112 W 6th St
Ste 124
Lawrence, KS 66044
Phone (785) 838-7846

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

6265 Rock Chalk Dr
Unit 1500
Lawrence, KS 66049
Phone (785) 505-5815

11300 Corporate Ave
Lenexa, KS 66219
Phone (913) 574-0600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23848/brand/1/csg/1/fhir/r4
  • Direct secure messaging: spro619661@direct.kuha.org
  • Direct secure messaging: stephan.pro@newmanrhdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1457507659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-6100",
            "fax_number": "913-535-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST # MS 3017",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-6100",
            "fax_number": "913-535-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRO",
        "first_name": "STEPHAN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-35024",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD28399",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KS",
            "license": "0435024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.