Individual provider Active NPI

Gregory Gan, MD, PHD

  • Radiation Oncology Physician
  • Kansas City, KS
National Provider Identifier
1568698561
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
04-42204 Issued in KS
Practice address
4001 Rainbow Blvd # Ms 4001
Kansas City, KS 66160-4374
Phone
(913) 588-3600
NPI assigned
Jun 4, 2009
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 04-42204 KS Primary

Addresses

Primary practice location

4001 Rainbow Blvd # Ms 4001
Kansas City, KS 66160-4374

Mailing address

4001 Rainbow Blvd
Kansas City, KS 66160-8504
Phone (913) 588-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, KS, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20141114000781 NM Practitioner - Radiation Oncology 5193967875 Reassigns benefits to 1 organization
I20190927002916 KS Practitioner - Radiation Oncology 5193967875 Reassigns benefits to 2 organizations
I20191118002859 MO Practitioner - Radiation Oncology 5193967875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians

Practice addresses (Care Compare)

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

2790 Clay Edwards Dr
Suite 405
North Kansas City, MO 64116-3274
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

4881 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone (913) 588-1227

8700 N Green Hiils Rd
Kansas City, MO 64154-1910
Phone (913) 588-1227

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Sep 1, 2019 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Unm Medical Group, Inc. CurrentSince Aug 21, 2014 Accepting new patients
Unm Medical Group Inc CurrentSince Aug 21, 2014 Accepting new patients
Kansas University Physicians Inc Radiation Oncology Current Accepting new patients
Topeka Physician Group, LLC CurrentSince Sep 1, 2019 Accepting new patients
Kansas University Physicians Inc Radiation Oncology CurrentSince Aug 18, 2019 Accepting new patients
Kansas University Physicians Inc CurrentSince Aug 18, 2019 Accepting new patients

Locations

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4001 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 574-0406

11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

1201 Camino de Salud NE
Albuquerque, NM 87102
Phone (505) 272-4443

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: ggan618652@direct.kuha.org
  • Direct secure messaging: ggan276513@ahs.direct-ci.com

Organizations & group practices 8

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 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": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1568698561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608504",
            "telephone_number": "913-588-3600",
            "fax_number": "913-588-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 RAINBOW BLVD # MS 4001",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661604374",
            "telephone_number": "913-588-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAN",
        "first_name": "GREGORY",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-42204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.