Individual provider Active NPI

Brandon Gregory Calhoun, DO

  • Nephrology Physician
  • Kansas City, MO
National Provider Identifier
1578091526
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
05-46650 Issued in KS
Practice address
4320 Wornall Rd
Kansas City, MO 64111-5941
Phone
(816) 531-0552
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 94-09286 KS
Nephrology Physician 207RN0300X 94-09286 KS
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 05-46650 KS Primary

Addresses

Primary practice location

4320 Wornall Rd
Kansas City, MO 64111-5941

Mailing address

4320 Wornall Rd Ste 208
Kansas City, MO 64111-5964
Phone (913) 588-6048

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
I20221026002137 KS Practitioner - NephrologyPractitioner - Internal Medicine 3577835073 Reassigns benefits to 2 organizations
I20221031000750 MO Practitioner - NephrologyPractitioner - Internal Medicine 3577835073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Kidney SpecialistsGroup PAC ID 9739438110, 7 clinicians

Practice addresses (Care Compare)

11661 College Blvd
Suite 100
Overland Park, KS 66210-4104
Phone (913) 495-5517

Hospital & facility affiliations

  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-46650KSMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Hospital of Trenton Single Specialty Current Accepting new patients
Saint Luke'S Hospital of Trenton Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Kansas City Kidney Specialists Single Specialty CurrentSince Dec 24, 2023 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Nov 1, 2022 Accepting new patients
Saint Lukes Hospital of Chillicothe Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Nov 1, 2022 Accepting new patients

Locations

11661 College Blvd
Ste 100
Overland Park, KS 66210
Phone (913) 495-5517

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 7

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1578091526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD STE 208",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115964",
            "telephone_number": "913-588-6048",
            "fax_number": "913-588-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115941",
            "telephone_number": "816-531-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "BRANDON",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "94-09286",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "94-09286",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "05-46650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.