Individual provider Active NPI

Everett James Wilkinson Jr., DO

  • Orthopaedic Surgery Physician
  • Kansas City, KS
National Provider Identifier
1518910157
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0530900 Issued in KS
Practice address
8919 Parallel Pkwy Ste 555
Kansas City, KS 66112-3628
Phone
(913) 596-3940
Fax
(913) 596-3730
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2022050080 MO
Orthopaedic Surgery Physician 207X00000X 0530900 KS Primary

Addresses

Primary practice location

8919 Parallel Pkwy Ste 555
Kansas City, KS 66112-3628

Mailing address

5101 College Blvd
Leawood, KS 66211-1614
Phone (816) 478-4800

Other practice location 1

3550 S 4th St Ste 115
Leavenworth, KS 66048-5061
Phone (913) 596-3940

Other identifiers 1

IdentifierTypeStateIssuer
100179600FMedicaidKS

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
I20041022001005 KS Practitioner - Orthopedic Surgery 6709852304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
57.94
Promoting interoperability
99
Improvement activities
40
Cost
73.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0530900KSMDOrthopaedic Surgery Physician
2022050080MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Aug 1, 2021 Accepting new patients
Prime Healthcare Physician Services - Providence Inc Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Joseph Daniels, DO Orthopaedic Surgery Past Accepting new patients
Orthopedic Surgeons, P.a. Orthopaedic Surgery Past Accepting new patients

Locations

8919 Parallel Pkwy
Ste 555
Kansas City, KS 66112
Phone (913) 596-3940

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

3550 S 4th St
Ste 115
Leavenworth, KS 66048
Phone (913) 596-3940

4801 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-6451

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20617/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1518910157",
    "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": "816-478-4800",
            "fax_number": "816-875-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY STE 555",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661123628",
            "telephone_number": "913-596-3940",
            "fax_number": "913-596-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 S 4th St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485061",
            "country_code": "US",
            "telephone_number": "913-596-3940",
            "fax_number": "913-596-3730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "EVERETT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2022050080",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "0530900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100179600F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.