Active NPI
Constantine Marinov, RN
- Certified Registered Nurse Anesthetist
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43-557583-081
- Practice address
- 4000 Cambridge St
Kansas City, KS 66160-2640 - Phone
- (913) 588-1227
- NPI assigned
- May 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-98251-081 | KS | |
| Registered Nurse | 163W00000X | 2007001403 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 2012016830 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 43-557583-081 | KS | Primary |
Addresses
Primary practice location
4000 Cambridge St
Kansas City, KS 66160-2640
Mailing address
4000 Cambridge St
Kansas City, KS 66160-8501
Phone (913) 588-1227
Other practice location 1
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1127
Other practice location 2
13805 Pembroke Ln
Leawood, KS 66224-4506
Phone (913) 271-2231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 919848408 | Medicaid | MO |
Other names 1
- Kostyantyn Dmytrovych Marinov
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 347-5097
11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368
120 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 347-5800
20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 588-1227
20805 W 151St St
Olathe, KS 66061-7249
Phone (913) 588-1227
3901 Rainbow Blvd
Kansas City, KS 66160-7415
Phone (913) 588-3315
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013
4000 Cambridge St
Kansas City, KS 66160-8500
4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227
Hospital & facility affiliations
- University of Kansas Hospital
- University of Kansas Health System Olathe Hospital
- Saint Luke's East Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.39 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-98251-081 | KS | MD | Registered Nurse |
| 2007001403 | MO | MD | Registered Nurse |
| 43-557583-081 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes East Anesthesia Services,P.C. | Current | Accepting new patients | |
| Saint Luke's Physician Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Midwest Heart & Vascular Specialists, LLC | Past | Accepting new patients |
Locations
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
5525 W 119th St
Ste 100
Overland Park, KS 66209
Phone (913) 906-0837
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
2301 Holmes St
Kansas City, MO 64108
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097
120 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5800
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lee's Summit, MO
- NPI 1649283177
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
MO
-
dba University Health
- General Acute Care Hospital
- Kansas City, MO
- NPI 1144207937
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
dba KU Anesthesiology
- Anesthesiology Physician
- Kansas City, KS
- NPI 1750459657
-
dba University Health Anesthesia
- Anesthesiology Physician
- Kansas City, MO
- NPI 1588832091
-
dba University Health Behavioral Health CCBHO Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kansas City, MO
- NPI 1225773401
-
- Cardiovascular Disease Physician
- Overland Park, KS
- NPI 1760736615
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1457611907",
"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": "913-588-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CAMBRIDGE ST",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661602640",
"telephone_number": "913-588-1227"
}
],
"practiceLocations": [
{
"address_1": "2301 Holmes St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082640",
"country_code": "US",
"telephone_number": "816-404-1127",
"fax_number": "816-404-1103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13805 Pembroke Ln",
"address_purpose": "LOCATION",
"city": "Leawood",
"state": "KS",
"postal_code": "662244506",
"country_code": "US",
"telephone_number": "913-271-2231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARINOV",
"first_name": "CONSTANTINE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-17",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "13-98251-081",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2007001403",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2012016830",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-557583-081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "919848408",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KOSTYANTYN",
"last_name": "MARINOV",
"middle_name": "DMYTROVYCH",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.