Active NPI
Everett James Wilkinson Jr., DO
- Orthopaedic Surgery Physician
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0530900
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100179600F | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.08 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0530900 | KS | MD | Orthopaedic Surgery Physician |
| 2022050080 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Physician Services - Providence Inc | Current | Accepting new patients | |
| Prime Healthcare Physician Services - Providence Inc | Orthopaedic Surgery | Current | 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
- 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.
-
dba Providence Medical Group
- General Practice Physician
- Shawnee, KS
- NPI 1356683213
Orthopaedic Surgery
-
- General Practice Physician
- Leavenworth, KS
- NPI 1972119741
-
dba Southwest Orthopedic Associates
- Orthopaedic Surgery Physician
- Benbrook, TX
- NPI 1467497735
-
- Orthopaedic Surgery Physician
- North Kansas City, MO
- NPI 1841264835
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.