Active NPI
Cody Pollack, DO
- Emergency Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2023011931
- Practice address
- 1000 Carondelet Dr
Kansas City, MO 64114-4673 - Phone
- (816) 548-2600
- NPI assigned
- Mar 29, 2017
- Last updated
- Nov 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 05-44474 | KS | |
| Emergency Medicine Physician | 207P00000X | 2023011931 | MO | Primary |
Addresses
Primary practice location
1000 Carondelet Dr
Kansas City, MO 64114-4673
Mailing address
5101 College Blvd
Leawood, KS 66211-1614
Phone (816) 478-4200
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 NW R D Mize Rd
Blue Springs, MO 64014-2513
Phone (816) 228-5900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- Quality
- 74.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 72.61
- Promoting interoperability
- 100
- Improvement activities
- 30
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-44474 | KS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of Mo, LLC | Emergency Medicine | Current | Accepting new patients |
| Missouri Emergency Medicine LLC | Emergency Medicine | Current | Accepting new patients |
| Northwest Medical Center Association Inc | Current | Accepting new patients | |
| Mosaic Medical Center - Maryville | Emergency Medicine | Current | Accepting new patients |
| Omni Emergency Medicine LLC | Emergency Medicine | Current | Accepting new patients |
| Northwest Medical Center Association Inc | Emergency Medicine | Current | Accepting new patients |
| Mosaic Medical Center - Maryville | Current | Accepting new patients | |
| Heartland Regional Medical Center | Emergency Medicine | Current | Accepting new patients |
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Heartland Regional Medical Center | Current | Accepting new patients |
Locations
705 N College St
Albany, MO 64402
Phone (660) 726-3941
201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900
2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525
5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070
5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500
901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Blue Springs, MO
- NPI 1225871163
-
- Emergency Medicine Physician
- Independence, MO
- NPI 1023715182
-
dba Mosaic Life Care
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
Emergency Medicine
-
- Emergency Medicine Physician
- Harrisonville, MO
- NPI 1053105890
-
dba Mosaic Medical Center Albany
- Medicare Defined Swing Bed Hospital Unit
- Albany, MO
- NPI 1124164322
-
dba Mosaic Life Care
- General Practice Physician
- Saint Joseph, MO
- NPI 1538200357
-
dba Mosaic Life Care at St. Joseph Acute Rehab
- Rehabilitation Hospital Unit
- Saint Joseph, MO
- NPI 1841385093
-
dba Mosaic Behavioral Health - Maryville
- Psychiatric Hospital Unit
- Maryville, MO
- NPI 1477027803
-
dba Mosaic Professional Services Albany
- Family Medicine Physician
- Albany, MO
- NPI 1447313721
Emergency Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Harrisonville, MO
- NPI 1477535326
-
dba St. Joseph Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1528463080
-
dba St. Mary's Medical Center
- General Acute Care Hospital
- Blue Springs, MO
- NPI 1912303579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1518499607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111614",
"telephone_number": "816-478-4200",
"fax_number": "816-875-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CARONDELET DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144673",
"telephone_number": "816-548-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "CODY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-29",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "05-44474",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2023011931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.