Mary Jo Middleton, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD100493 Issued in MO

Practice address

4801 E Linwood Blvd
Kansas City, MO 64128-2226

Phone

(816) 922-2740

NPI assigned

Sep 26, 2006

Last updated

Jan 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Physical Medicine and Rehabilitation

Education

University of Missouri, Kansas City, School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cameron Regional Medical Center IncGroup PAC ID 5092622001, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cameron Regional Medical Center Hospital, Cameron, MO, CCN 260057

Merit-based Incentive Payment System (MIPS)

Final score

58.28 of 100Reported as group

Quality

38.51

Improvement activities

40

Cost

70.39

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cameron Regional Medical Center Inc

  • General Acute Care Hospital
  • Cameron, MO
  • NPI 1811905375
  Medicare reassignment Care Compare group NPD
• Northwest Missouri Physical Medicine and Rehabilitation, LLC

  • Physical Medicine & Rehabilitation Physician
  • Saint Joseph, MO
  • NPI 1548325772
  NPD (past) Authorized official
• Cameron Regional Medical Center, Inc.

  dba King City Family Health

  • Rural Health Clinic/Center
  • King City, MO
  • NPI 1861269318
  NPD
• Cameron Regional Medical Center Inc

  dba Walnut Medical Clinic

  • Rural Health Clinic/Center
  • Cameron, MO
  • NPI 1003821307
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cameron Regional Medical Center Inc

  dba Cameron Specialists In Internal Medicine

  • Clinic/Center
  • Cameron, MO
  • NPI 1427062793

  Hospital

  Care Compare affiliation
• Cameron Regional Medical Center Inc

  • General Acute Care Hospital
  • Cameron, MO
  • NPI 1811905375
  Care Compare affiliation
• Cameron Regional Medical Center, Inc.

  • Rehabilitation Hospital Unit
  • Cameron, MO
  • NPI 1215076393
  Care Compare affiliation
• Cameron Regional Medical Center, Inc.

  dba Behaviorial Health Unit

  • Psychiatric Hospital Unit
  • Cameron, MO
  • NPI 1598804676
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1467553941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WOODSON AVE",
            "city": "CAMDEN POINT",
            "state": "MO",
            "postal_code": "640189153",
            "telephone_number": "816-617-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E LINWOOD BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641282226",
            "telephone_number": "816-922-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "MARY JO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "MD100493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206650517",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midamerica Alliance for Access Corporation
• Midamerica Cancer Care, LLC
• Midamerica Heart & Lung Surgeons, P.C.
• Midamerica Mobility LLC
• Tiffany Middlebrook, CPHT
• Michelle Renee Middleton, AU.D.
• Roseanne Marie Middleton, PH.D.
• Midland Health Care, LLC
• Midtown Dental LLC (Comfort Dental Midtown)
• Midtown Family Medicine PC

• Physical Medicine & Rehabilitation Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.

Verify at the official NPI Registry.