Individual provider Active NPI

Joel David Ackerman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lee's Summit, MO
National Provider Identifier
1467438010
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2008002387 Issued in MO
Practice address
200 NE Mission Road
Lees Summit, MO 64086-6408
Phone
(913) 428-2900
NPI assigned
Dec 15, 2005
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
204926802MedicaidMO
450062800MedicaidMN

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
I20080710000376 MO Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8325011067 Reassigns benefits to 1 organization
I20081212000714 KS Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8325011067 Reassigns benefits to 2 organizations

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
KC Pain Centers LLCGroup PAC ID 9335137546, 9 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
0432870KSMDPain Medicine (Anesthesiology) Physician
2008002387MOMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KC Pain Centers, LLC Anesthesiology CurrentSince Jul 14, 2008 Accepting new patients
Anesthesia Associates of Kansas City PA Anesthesiology CurrentSince Mar 17, 2020 Accepting new patients
Carroll County Memorial Hospital CurrentSince Feb 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.