Active NPI
William Todd Johnson, MD
- Urology Physician
- Lees Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0427384
- 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
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 |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Cass Regional Medical Center
- Belton Regional Medical Center
- Overland Park Reg Med Ctr
- Menorah Medical Center
- Saint Luke'S East Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0427384 | KS | MD | Urology Physician |
| 103076 | MO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City Urology Care, P.a. | Urology | Current | Accepting new patients |
| Cass Regional Medical Center | Current | Accepting new patients | |
| Cass Regional Medical Center | Current | Accepting new patients | |
| Cass Regional Medical Center | Past | Accepting new patients | |
| Saint Luke'S Physician Group Inc | Past | 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
- william.johnson@cassregional.direct-ci.com
- 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.
-
- Critical Access Hospital
- Harrisonville, MO
- NPI 1477535326
-
- Rural Health Clinic/Center
- Pleasant Hill, MO
- NPI 1538159058
-
- Rural Health Clinic/Center
- Garden City, MO
- NPI 1588654784
-
- Family Medicine Physician
- Harrisonville, MO
- NPI 1891715652
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Harrisonville, MO
- NPI 1477535326
-
- General Acute Care Hospital
- Belton, MO
- NPI 1063470763
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1053353490
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1255378337
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.