Individual provider Active NPI

Constantine Marinov, RN

  • Certified Registered Nurse Anesthetist
  • Kansas City, KS
National Provider Identifier
1457611907
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-557583-081 Issued in KS
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

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
919848408MedicaidMO

Other names 1

  • Kostyantyn Dmytrovych Marinov Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120807000893 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698921617 Reassigns benefits to 4 organizations
I20211214001373 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698921617 Reassigns benefits to 2 organizations

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
St Lukes East Anesthesia Services PCGroup PAC ID 1850333477, 44 clinicians
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
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

LicenseStateTypeSpecialty
13-98251-081KSMDRegistered Nurse
2007001403MOMDRegistered Nurse
43-557583-081KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes East Anesthesia Services,P.C. CurrentSince Jun 12, 2012 Accepting new patients
Saint Luke's Physician Group Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 28, 2025 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Dec 13, 2021 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Jul 1, 2012 Accepting new patients
Kansas University Physicians Inc CurrentSince Mar 28, 2024 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center Incorporated CurrentSince Jul 1, 2012 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Mar 28, 2024 Accepting new patients
Midwest Heart & Vascular Specialists, LLC PastSince Mar 15, 2022 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.

Hospital & facility affiliations 4

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": "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.

Verify at the official NPI Registry.