Individual provider Active NPI

Cody Pollack, DO

  • Emergency Medicine Physician
  • Kansas City, MO
National Provider Identifier
1518499607
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2023011931 Issued in MO
Practice address
1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone
(816) 548-2600
NPI assigned
Mar 29, 2017
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721001813 MO Practitioner - Emergency Medicine 0547689317 Reassigns benefits to 6 organizations

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
Omni Emergency Medicine LLCGroup PAC ID 3971037565, 18 clinicians

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 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
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

LicenseStateTypeSpecialty
05-44474KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Mo, LLC Emergency Medicine CurrentSince Dec 3, 2023 Accepting new patients
Missouri Emergency Medicine LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Jul 16, 2023 Accepting new patients
Mosaic Medical Center - Maryville Emergency Medicine CurrentSince Jul 16, 2023 Accepting new patients
Omni Emergency Medicine LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Northwest Medical Center Association Inc Emergency Medicine CurrentSince Jul 16, 2023 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Jul 16, 2023 Accepting new patients
Heartland Regional Medical Center Emergency Medicine Current Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 13, 2023 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 13, 2023 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.