Individual provider Active NPI

Joel D Kavan, DO

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1497749295
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024000134 Issued in MO
Practice address
10205 State Line Rd Ste 100
Kansas City, MO 64114-4263
Phone
(816) 354-3090
Fax
(816) 354-3091
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0527608 KS
Family Medicine Physician 207Q00000X 2024000134 MO Primary

Addresses

Primary practice location

10205 State Line Rd Ste 100
Kansas City, MO 64114-4263

Mailing address

10205 State Line Rd Ste 100
Kansas City, MO 64114-4263
Phone (816) 354-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20060810000143 KS Practitioner - Family Practice 9032112131 Reassigns benefits to 2 organizations
I20251203000188 MO Practitioner - Family Practice 9032112131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shawnee Mission Medical Center IncGroup PAC ID 9537119037, 282 clinicians

Practice addresses (Care Compare)

10205 State Line Rd
Suite 100
Kansas City, MO 64114-4263
Phone (816) 354-3091

9100 W 74TH St
Ahmg Cardiology at Shawnee Mission
Merriam, KS 66204-4004
Phone (913) 676-2000

Hospital & facility affiliations

  • Phoenix Home Care Home health agency, Overland Park, KS, CCN 178077
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014
  • Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Merit-based Incentive Payment System (MIPS)

Final score
75.72 of 100Reported as group
Quality
57.99
Promoting interoperability
100
Improvement activities
40
Cost
61.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0527608KSMDFamily Medicine Physician
2024000134MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Ransom Memorial, Inc. CurrentSince Jan 15, 2022 Accepting new patients
Shawnee Mission Medical Center Inc Family Medicine CurrentSince Nov 3, 2024 Accepting new patients
Adventhealth Ransom Memorial, Inc. Family Medicine CurrentSince Jan 15, 2022 Accepting new patients

Locations

7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

7025 College Blvd
Ste 200
Overland Park, KS 66211
Phone (913) 338-4515

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

10205 State Line Rd
Kansas City, MO 64114
Phone (816) 354-3090

10205 State Line Rd
Ste 100
Kansas City, MO 64114
Phone (816) 354-3090

Interoperability endpoints

  • Direct secure messaging: jkavan661559@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 7

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1497749295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 STATE LINE RD STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144263",
            "telephone_number": "816-354-3090",
            "fax_number": "816-354-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 STATE LINE RD STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144263",
            "telephone_number": "816-354-3090",
            "fax_number": "816-354-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVAN",
        "first_name": "JOEL",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0527608",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024000134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.