Individual provider Active NPI

David Vernikov, M.D.

  • Psychiatry Physician
  • Kansas City, KS
National Provider Identifier
1518221126
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-38117 Issued in KS
Practice address
3901 Rainbow Blvd., Mailstop 4015
University of Kansas Medical Center-Psychiatry
Kansas City, KS 66160
Phone
(913) 588-6400
Fax
(913) 588-6414
NPI assigned
Jun 28, 2012
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-38117 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd., Mailstop 4015
University of Kansas Medical Center-Psychiatry
Kansas City, KS 66160

Mailing address

3901 Rainbow Blvd., Mailstop 4015
University of Kansas Medical Center-Psychiatry
Kansas City, KS 66160
Phone (913) 588-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20160302000340 KS Practitioner - PsychiatryPractitioner - Internal Medicine 7517262496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians
Osawatomie State HospitalGroup PAC ID 5698053866, 11 clinicians

Practice addresses (Care Compare)

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-6431

500 State Hospital Dr
Osawatomie, KS 66064-1813
Phone (913) 755-7073

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
04-38117KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Psychiatry Current Accepting new patients
Osawatomie State Hospital CurrentSince Jan 16, 2018 Accepting new patients
Kansas University Physicians Inc CurrentSince Sep 10, 2017 Accepting new patients
Kansas University Physicians Inc CurrentSince Sep 10, 2017 Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

3901 Rainbow Blvd
#4015
Kansas City, KS 66160
Phone (913) 588-6400

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

500 State Hospital Dr
Osawatomie, KS 66064
Phone (913) 755-7000

Interoperability endpoints

  • Direct secure messaging: dvernikov153709@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1518221126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD., MAILSTOP 4015",
            "address_2": "UNIVERSITY OF KANSAS MEDICAL CENTER-PSYCHIATRY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-6400",
            "fax_number": "913-588-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD., MAILSTOP 4015",
            "address_2": "UNIVERSITY OF KANSAS MEDICAL CENTER-PSYCHIATRY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-6400",
            "fax_number": "913-588-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNIKOV",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-38117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.