Active NPI
Steven B Gollub, MD
- Cardiovascular Disease Physician
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 04-18387
- Practice address
- 4000 Cambridge St Ste G600
Kansas City, KS 66160-2937 - Phone
- (913) 588-9600
- Fax
- (913) 588-9770
- NPI assigned
- Aug 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R1C60 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 04-18387 | KS | Primary |
Addresses
Primary practice location
4000 Cambridge St Ste G600
Kansas City, KS 66160-2937
Mailing address
4000 Ambridge Street Ste G600
Kansas City, KS 66160-8500
Phone (913) 588-9600
Other practice location 1
820 Ravenhill Dr Ste 106A
Atchison, KS 66002-9251
Phone (913) 367-6227
Other practice location 2
10787 Nall Ave Ste 300
Overland Park, KS 66211-1372
Phone (913) 588-9400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201967007 | Medicaid | MO | |
| 10804029 | Other | BCBS KC | |
| 100200070C | Medicaid | KS | |
| 100200070D | Medicaid | KS | |
| 100861 | Other | KS | BCBS KS |
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
- Cardiovascular Disease (Cardiology)
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10787 Nall Ave
Suite 300
Overland Park, KS 66211-1372
Phone (913) 588-9400
1530 N Church Rd
Liberty, MO 64068-7129
Phone (816) 781-1696
3601 S 4TH St
Suite 1
Leavenworth, KS 66048-5046
Phone (913) 945-9620
3943 Sherman Ave
Saint Joseph, MO 64506-3649
Phone (816) 279-6666
4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227
5701 State Ave
Suite 300
Kansas City, KS 66102-1286
Phone (913) 588-9700
7420 Switzer Rd
Shawnee, KS 66203-4550
Phone (913) 588-1227
820 Ravenhill Dr
Suite 160a
Atchison, KS 66002-9268
Phone (913) 367-6227
Hospital & facility affiliations
- University of Kansas Hospital
- Amberwell Atchison Association
- University of KS HLTH System Great Bend Campus
- University of Kansas Health System Olathe Hospital
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-18387 | KS | MD | Cardiovascular Disease Physician |
| R1C60 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Cardiovascular Disease | Current | Accepting new patients |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Mid-America Cardiology Associates, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Kansas University Physicians Inc | Cardiovascular Disease | Past | Accepting new patients |
Locations
820 Ravenhill Dr
Ste 160A
Atchison, KS 66002
Phone (913) 367-6227
820 Ravenhill Dr
Ste 106A
Atchison, KS 66002
Phone (913) 367-6227
4000 Cambridge St
Ste G600
Kansas City, KS 66160
Phone (913) 588-7743
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
3901 Rainbow Blvd
Ste G600
Kansas City, KS 66160
Phone (913) 588-9600
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
10787 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 588-9400
1530 N Church Rd
Liberty, MO 64068
Phone (816) 415-1900
3943 Sherman Ave
Saint Joseph, MO 64506
Phone (816) 279-6666
Interoperability endpoints
- sgollub7793@direct.kuha.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1467406306
MO
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1699811521
Cardiovascular Disease
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Atchison, KS
- NPI 1932151487
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
- General Acute Care Hospital
- Great Bend, KS
- NPI 1548750417
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1467463356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 AMBRIDGE STREET STE G600",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CAMBRIDGE ST STE G600",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661602937",
"telephone_number": "913-588-9600",
"fax_number": "913-588-9770"
}
],
"practiceLocations": [
{
"address_1": "820 Ravenhill Dr Ste 106A",
"address_purpose": "LOCATION",
"city": "Atchison",
"state": "KS",
"postal_code": "660029251",
"country_code": "US",
"telephone_number": "913-367-6227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10787 Nall Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662111372",
"country_code": "US",
"telephone_number": "913-588-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLLUB",
"first_name": "STEVEN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R1C60",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KS",
"license": "04-18387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201967007",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "10804029",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100200070C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100200070D",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KS",
"identifier": "100861",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 11, 2018; 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.