Individual provider Active NPI

Steven B Gollub, MD

  • Cardiovascular Disease Physician
  • Kansas City, KS
National Provider Identifier
1467463356
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
04-18387 Issued in KS
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

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201967007MedicaidMO
10804029OtherBCBS KC
100200070CMedicaidKS
100200070DMedicaidKS
100861OtherKSBCBS KS

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
I20051110000289 MO Practitioner - Cardiovascular Disease (Cardiology) 0446278246 Reassigns benefits to 1 organization
I20100916000593 KS Practitioner - Cardiovascular Disease (Cardiology) 0446278246 Reassigns benefits to 2 organizations

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
Mid-America Cardiology Associates IncGroup PAC ID 7012801103, 110 clinicians
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

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

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-18387KSMDCardiovascular Disease Physician
R1C60MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Mid-America Cardiology Associates, Inc. Cardiovascular Disease CurrentSince Mar 1, 2001 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.