NPIMap

Individual provider Active NPI

Thomas B Herrick, MD

  • Urology Physician
  • North Kansas City, MO
National Provider Identifier
1487605275
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R7G41 Issued in MO
Practice address
2750 Clay Edwards Dr
500
North Kansas City, MO 64116-3237
Phone
(816) 842-6717
Fax
(816) 842-2574
NPI assigned
May 15, 2006
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R7G41 MO Primary
Urology Physician 208800000X 0433251 KS

Addresses

Primary practice location

2750 Clay Edwards Dr
500
North Kansas City, MO 64116-3237

Mailing address

1950 Diamond Pkwy Ste 200
North Kansas City, MO 64116-4321
Phone (816) 842-6717

Other identifiers 2

IdentifierTypeStateIssuer
340018009OtherRAILROAD MEDICARE
16404026OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090213000429 KS Practitioner - Urology 3577529262 Reassigns benefits to 1 organization
I20120323000277 MO Practitioner - Urology 3577529262 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Southern Illinois University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0433251KSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ray County Memorial Hospital CurrentSince Jan 1, 2018 Accepting new patients
Excelsior Springs City Hospital CurrentSince Dec 1, 2023 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Kansas City Urology Care, P.a. Urology CurrentSince Apr 6, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

1950 Diamond Pkwy
Ste 200
North Kansas City, MO 64116
Phone (816) 842-6717

2750 Clay Edwards Dr
Ste 500
North Kansas City, MO 64116
Phone (816) 444-5425

904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: therrick4290@direct.saint-lukes.org

Organizations & group practices 6

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 8

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1487605275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 DIAMOND PKWY STE 200",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641164321",
            "telephone_number": "816-842-6717",
            "fax_number": "816-842-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR",
            "address_2": "500",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "816-842-6717",
            "fax_number": "816-842-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "R7G41",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "0433251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340018009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16404026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.