Individual provider Active NPI

Julian Magadan III, MD

  • Rheumatology Physician
  • Kansas City, MO
National Provider Identifier
1568660389
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
04-35874 Issued in KS
Practice address
4330 Wornall Rd Ste 40
Kansas City, MO 64111-5940
Phone
(816) 531-0930
Fax
(816) 531-2807
NPI assigned
Jul 3, 2007
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9406874 KS
Rheumatology Physician 207RR0500X 2015039924 MO
Rheumatology Physician 207RR0500X 04-35874 KS Primary

Addresses

Primary practice location

4330 Wornall Rd Ste 40
Kansas City, MO 64111-5940

Mailing address

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (816) 531-0930

Other practice location 1

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (816) 531-0930

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
I20120807000435 KS Practitioner - Rheumatology 6204082282 Reassigns benefits to 1 organization
I20160122001609 MO Practitioner - RheumatologyPractitioner - Internal Medicine 6204082282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Texas Southwestern Medical School at Dallas, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

12850 Metcalf Ave
Suite 220
Overland Park, KS 66213-2856
Phone (913) 661-9990

17795 W 106TH St
Suite 102
Olathe, KS 66061-3155
Phone (913) 942-2848

2600 Compass Rd
Glenview, IL 60026-8001

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (816) 561-9200

777 NW Blue Pkwy
Suite 3100
Lees Summit, MO 64086-5799
Phone (816) 531-0930

8350 N Saint Clair Ave
Suite 100
Kansas City, MO 64151-5102
Phone (913) 258-2116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9406874KSMDInternal Medicine Physician
04-35874KSMDRheumatology Physician
2015039924MOMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Physician Partners Inc Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients

Locations

17795 W 106th St
Ste 102
Olathe, KS 66061
Phone (913) 317-2600

4330 Wornall Rd
Ste 40
Kansas City, MO 64111
Phone (816) 531-0930

4440 Broadway Blvd
Kansas City, MO 64111
Phone (816) 531-0930

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: julian.magadan@direct.kcphypartner.nextgenshare.com

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

Hospital & facility affiliations 8

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1568660389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "816-531-0930",
            "fax_number": "816-531-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD STE 40",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115940",
            "telephone_number": "816-531-0930",
            "fax_number": "816-531-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641113315",
            "country_code": "US",
            "telephone_number": "816-531-0930",
            "fax_number": "816-531-2807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGADAN",
        "first_name": "JULIAN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9406874",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2015039924",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KS",
            "license": "04-35874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.