NPIMap

Individual provider Active NPI

Stephen L Reintjes, M.D.

  • Neurological Surgery Physician
  • Kansas City, MO
National Provider Identifier
1538196175
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
R5J27 Issued in MO
Practice address
2750 Clay Edwards Dr
Suite 410
Kansas City, MO 64116-3237
Phone
(816) 471-8114
Fax
(816) 842-5342
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X R5J27 MO Primary
Neurological Surgery Physician 207T00000X 04-22720 KS

Addresses

Primary practice location

2750 Clay Edwards Dr
Suite 410
Kansas City, MO 64116-3237

Mailing address

2700 Clay Edwards Dr
Suite 410
North Kansas City, MO 64116-3251
Phone (816) 691-5289

Other identifiers 1

IdentifierTypeStateIssuer
1538196175MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000717 MO Practitioner - Neurosurgery 7315035904 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22720KSMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation CurrentSince Feb 2, 2015 Accepting new patients
Meritas Health Corporation Neurological Surgery CurrentSince Feb 2, 2015 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

2750 Clay Edwards Dr
Ste 410
North Kansas City, MO 64116
Phone (816) 461-5333

2750 Hospital Dr
North Kansas City, MO 64116
Phone (816) 421-3700

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NKC HealthNorth Kansas City, MO, CCN 260096 Hospital Corporate Officer
W-2 Managing Employee
Operational/Managerial Control		 May 1, 2020
May 1, 2020
May 1, 2020
NKC HealthNorth Kansas City, MO, CCN 26T096 Hospital Corporate Officer
W-2 Managing Employee
Operational/Managerial Control		 May 1, 2020
Apr 6, 2020
May 1, 2020
Meritas Health RichmondRichmond, MO, CCN 793842 Rural health clinic Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Apr 6, 2020
Apr 6, 2020
Apr 6, 2020

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1538196175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR",
            "address_2": "SUITE 410",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163251",
            "telephone_number": "816-691-5289",
            "fax_number": "816-346-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR",
            "address_2": "SUITE 410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "816-471-8114",
            "fax_number": "816-842-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINTJES",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "R5J27",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KS",
            "license": "04-22720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538196175",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.