Active NPI
Joel David Ackerman, M.D.
- Pain Medicine (Anesthesiology) Physician
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 2008002387
- Practice address
- 200 NE Mission Road
Lees Summit, MO 64086-6408 - Phone
- (913) 428-2900
- NPI assigned
- Dec 15, 2005
- Last updated
- Nov 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 46649 | MN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0432870 | KS | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2008002387 | MO | Primary |
Addresses
Primary practice location
200 NE Mission Road
Lees Summit, MO 64086-6408
Mailing address
8717 W 110TH St Ste 600
Overland Park, KS 66210-2126
Phone (913) 428-2900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204926802 | Medicaid | MO | |
| 450062800 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 NE Missouri Rd
Lees Summit, MO 64086-4722
5525 W 119TH St
Overland Park, KS 66209-3724
Phone (816) 767-3200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.42 of 100
- Quality
- 86.14
- Improvement activities
- 40
- Cost
- 69.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0432870 | KS | MD | Pain Medicine (Anesthesiology) Physician |
| 2008002387 | MO | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KC Pain Centers, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of Kansas City PA | Anesthesiology | Current | Accepting new patients |
| Carroll County Memorial Hospital | Current | Accepting new patients | |
| Inpatient Consultants of Kansas PA | Past | Accepting new patients |
Locations
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
5525 W 119th St
Overland Park, KS 66209
Phone (913) 227-0916
7651 W 159th St
Overland Park, KS 66223
Phone (816) 222-8395
8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695
1300 E 104th St
Ste 100
Kansas City, MO 64131
Phone (816) 767-3263
100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097
200 NE Missouri Rd
Ste 100
Lees Summit, MO 64086
Phone (816) 282-5370
200 NE Missouri Rd
Ste 103
Lees Summit, MO 64086
200 NE Missouri Rd
Ste 306
Lees Summit, MO 64086
Phone (816) 768-6000
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
Interoperability endpoints
- joel.ackerman@kcpain.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
-
- Critical Access Hospital
- Carrollton, MO
- NPI 1528067113
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1548563737
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1467438010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 W 110TH ST STE 600",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102126",
"telephone_number": "913-428-2900",
"fax_number": "816-795-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE MISSION ROAD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866408",
"telephone_number": "913-428-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "JOEL",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "46649",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "KS",
"license": "0432870",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MO",
"license": "2008002387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204926802",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "450062800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.