Individual provider Active NPI

Eugene T Bode, MD

  • Anesthesiology Physician
  • Kansas City, MO
National Provider Identifier
1548210909
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R4B26 Issued in MO
Practice address
4401 Wornall Rd
Anesthesia Dept
Kansas City, MO 64111-3220
Phone
(816) 932-7940
Fax
(816) 932-7957
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R4B26 MO Primary

Addresses

Primary practice location

4401 Wornall Rd
Anesthesia Dept
Kansas City, MO 64111-3220

Mailing address

PO Box 504407
Saint Louis, MO 63150-4407
Phone (816) 932-7940

Other identifiers 4

IdentifierTypeStateIssuer
050063944OtherMORR MEDICARE NUMBER
100119250BMedicaidMO
202259735MedicaidMO
09051014OtherMOBCBS NUMBER

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
I20100916001056 MO Practitioner - Anesthesiology 2567587355 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4B26MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza Anesthesia PC Anesthesiology CurrentSince Aug 19, 2021 Accepting new patients
Westport Anesthesia Services of Missouri, PC Anesthesiology Past Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients

Locations

4321 Washington St
Ste 5700
Kansas City, MO 64111
Phone (816) 561-2000

Interoperability endpoints

  • Direct secure messaging: ebode4213@direct.saint-lukes.org

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Human Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plaza Anesthesia PC 12 clinicians

Practice addresses (Care Compare)

4321 Washington St
Suite 5700
Kansas City, MO 64111-5932
Phone (816) 561-2000

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1548210909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504407",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504407",
            "telephone_number": "816-932-7940",
            "fax_number": "816-932-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "address_2": "ANESTHESIA DEPT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113220",
            "telephone_number": "816-932-7940",
            "fax_number": "816-932-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODE",
        "first_name": "EUGENE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "R4B26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NUMBER",
            "identifier": "050063944",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119250B",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202259735",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "09051014",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.