Individual provider Active NPI

William Todd Johnson, MD

  • Urology Physician
  • Lees Summit, MO
National Provider Identifier
1528050077
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0427384 Issued in KS
Practice address
301 NE Mulberry St Ste 200
Lees Summit, MO 64086-6017
Phone
(816) 524-1007
Fax
(816) 524-1988
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 103076 MO
Urology Physician 208800000X 0427384 KS Primary

Addresses

Primary practice location

301 NE Mulberry St Ste 200
Lees Summit, MO 64086-6017

Mailing address

301 NE Mulberry St Ste 200
Lees Summit, MO 64086-6017
Phone (816) 524-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100812001042 MO Practitioner - Urology 4284648494 Reassigns benefits to 2 organizations
I20100817001516 KS Practitioner - Urology 4284648494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of New Mexico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians
Cass Regional Medical CenterGroup PAC ID 7517853781, 44 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985

2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Phone (816) 380-5888

301 NE Mulberry St
Suite 200
Lees Summit, MO 64086-6017
Phone (816) 524-1007

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0427384KSMDUrology Physician
103076MOMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Urology Care, P.a. Urology CurrentSince Jan 2, 2020 Accepting new patients
Cass Regional Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Cass Regional Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Cass Regional Medical Center Past Accepting new patients
Saint Luke'S Physician Group Inc PastSince Jan 2, 2020 Accepting new patients
Harrisonville Family Medicine, Inc. Past Accepting new patients

Locations

10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585

8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985

17067 S Outer Rd
Ste 200
Belton, MO 64012
Phone (816) 348-4270

17067 S US Highway 71
Ste 100
Belton, MO 64012
Phone (816) 331-4000

2820 E Rock Haven Rd
Ste 150
Harrisonville, MO 64701
Phone (816) 887-0309

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

17525 Medical Center Pkwy
Independence, MO 64057
Phone (816) 836-6875

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

4321 Washington St
Ste 5300
Kansas City, MO 64111
Phone (816) 531-1234

301 NE Mulberry St
Ste 200
Lees Summit, MO 64086
Phone (816) 524-1007

Interoperability endpoints

  • Direct secure messaging: william.johnson@cassregional.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14773/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1528050077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE MULBERRY ST STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866017",
            "telephone_number": "816-524-1007",
            "fax_number": "816-524-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE MULBERRY ST STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866017",
            "telephone_number": "816-524-1007",
            "fax_number": "816-524-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "103076",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "0427384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.