Individual provider Active NPI

Alfred C Caruso, M.D.

  • Pulmonary Disease Physician
  • Kansas City, MO
National Provider Identifier
1568549269
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R8H50 Issued in MO
Practice address
1004 Carondelet Dr
Suite 410
Kansas City, MO 64114-4802
Phone
(816) 389-6100
Fax
(816) 389-6150
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X R8H50 MO Primary
Pulmonary Disease Physician 207RP1001X 04-24867 KS
Sleep Medicine (Internal Medicine) Physician 207RS0012X R8H50 MO

Addresses

Primary practice location

1004 Carondelet Dr
Suite 410
Kansas City, MO 64114-4802

Mailing address

PO Box 872332
Kansas City, MO 64187-2332
Phone (816) 389-6100

Other identifiers 4

IdentifierTypeStateIssuer
208944900MedicaidMO
100333270CMedicaidKS
14429021OtherMOBCBS OF KC
1568549269MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20050617000959 KS Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 6204870496 Reassigns benefits to 1 organization
I20110303000448 MO Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 6204870496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Hospitalists PAGroup PAC ID 2860635117, 46 clinicians

Practice addresses (Care Compare)

Overland Park, KS 66213
Phone (913) 498-8787

2100 SE Blue Pkwy
Lee's Summit, MO 64063-1007
Phone (913) 498-8787

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-8787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.27 of 100Reported as group
Quality
44.91
Improvement activities
40
Cost
44.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-24867KSMDPulmonary Disease Physician
R8H50MOMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KC Hospitalists, P.a. CurrentSince Sep 12, 2018 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC Pulmonary Disease CurrentSince Mar 1, 2015 Accepting new patients
Pulmonary Physicians of Kansas City, Inc. Pulmonary Disease Current Accepting new patients
Midwest Division - LSH, LLC Past Accepting new patients
Midwest Division - MMC, LLC Past Accepting new patients

Locations

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

6509 W 103rd St
Overland Park, KS 66212
Phone (913) 649-3701

13725 Metcalf Ave
Overland Park, KS 66223
Phone (913) 308-6866

7400 W 132nd St
Ste 120
Overland Park, KS 66213

5701 W 119th St
Ste 220
Overland Park, KS 66209
Phone (816) 524-5522

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

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

1004 Carondelet Dr
Ste 410
Kansas City, MO 64114
Phone (816) 381-8051

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

Organizations & group practices 5

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 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1568549269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872332",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641872332",
            "telephone_number": "816-389-6100",
            "fax_number": "816-389-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144802",
            "telephone_number": "816-389-6100",
            "fax_number": "816-389-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "ALFRED",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "R8H50",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "04-24867",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MO",
            "license": "R8H50",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208944900",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100333270C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "14429021",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568549269",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.