Active NPI
Kevin F Knop, MD
- Pain Medicine (Anesthesiology) Physician
- Liberty, MO
National Provider Identifier
1477549327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- R5G38
- Practice address
- 2525 Glenn Hendren Dr
Liberty, MO 64068-9625 - Phone
- (816) 781-7200
- NPI assigned
- Sep 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | R5G38 | MO | Primary |
Addresses
Primary practice location
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Mailing address
PO Box 804408
Kansas City, MO 64180-0001
Phone (913) 647-4100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15111024 | Other | MO | BCBS KC |
| 15111014 | Other | MO | BCBS KC |
| 7725350 | Medicaid | SD | |
| 202446712 | Medicaid | MO |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060206000123 | MO | Practitioner - Anesthesiology | 0749205615 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5G38 | MO | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthetic Care Inc | Pain Medicine | Current | Accepting new patients |
| Liberty Ambulatory Surgery Center LP | Past | Accepting new patients | |
| James F Piontek Inc | Pain Medicine | Past | Accepting new patients |
Locations
2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Liberty, MO
- NPI 1922053461
MO, Pain Medicine
-
- Pain Medicine (Anesthesiology) Physician
- Liberty, MO
- NPI 1508034828
Pain Medicine
-
- Ambulatory Surgical Clinic/Center
- Liberty, MO
- NPI 1831206085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1477549327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804408",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641800001",
"telephone_number": "913-647-4100",
"fax_number": "913-647-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 GLENN HENDREN DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640689625",
"telephone_number": "816-781-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOP",
"first_name": "KEVIN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MO",
"license": "R5G38",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "15111024",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "15111014",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7725350",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202446712",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.