Individual provider Active NPI

Olajide Kayode Oguntuase, M.D

  • Psychiatry Physician
  • Kansas City, MO
National Provider Identifier
1528292570
Registry record updated Oct 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2013002816 Issued in MO
Practice address
300 W 19TH Ter
Kansas City, MO 64108-2026
Phone
(816) 404-5700
NPI assigned
May 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2013002816 MO Primary

Addresses

Primary practice location

300 W 19TH Ter
Kansas City, MO 64108-2026

Mailing address

2310 Holmes St
Ste 800
Kansas City, MO 64108-2602
Phone (816) 218-2523

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
I20130920000547 MO Practitioner - Psychiatry 6002050671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

1000 E 24TH St
Kansas City, MO 64108-2776
Phone (816) 404-3710

Hospital & facility affiliations

  • University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013002816MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Missouri Psychiatry Current Accepting new patients
State of Missouri Psychiatry CurrentSince Oct 13, 2013 Accepting new patients
State of Missouri Psychiatry CurrentSince Oct 13, 2013 Accepting new patients
University Health Physicians CurrentSince Nov 1, 2016 Accepting new patients

Locations

606 S Hardy Ave
Independence, MO 64053
Phone (816) 404-5770

1000 E 24th St
Unit 2C
Kansas City, MO 64108
Phone (816) 404-3710

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500

1000 E 24th St
Ofc 53
Kansas City, MO 64108
Phone (816) 404-3710

2301 Holmes St
Kansas City, MO 64108

300 SE 2nd St
Lees Summit, MO 64063
Phone (816) 246-4050

3505 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 387-2300

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.

Hospital & facility affiliations 1

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477094400000",
    "number": "1528292570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOLMES ST",
            "address_2": "STE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082602",
            "telephone_number": "816-218-2523",
            "fax_number": "816-421-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 19TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082026",
            "telephone_number": "816-404-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNTUASE",
        "first_name": "OLAJIDE",
        "middle_name": "KAYODE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2016-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2013002816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.