Individual provider Active NPI

Larry Donald Cordell, MD

  • Orthopaedic Surgery of the Spine Physician
  • Kansas City, KS
National Provider Identifier
1578567384
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
04-13939 Issued in KS
Practice address
3901 Rainbow Blvd
Ms 3017
Kansas City, KS 66160
Phone
(913) 588-6100
Fax
(913) 588-8186
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 04-13939 KS
Orthopaedic Surgery Physician 207X00000X R7372 MO
Orthopaedic Surgery Physician 207X00000X 38333 CO
Orthopaedic Surgery Physician 207X00000X C32504 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X 04-13939 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd
Ms 3017
Kansas City, KS 66160

Mailing address

3901 Rainbow Blvd
Ms 3017
Kansas City, KS 66160
Phone (913) 588-6100

Other identifiers 6

IdentifierTypeStateIssuer
100093800EMedicaidKS
100093800FMedicaidKS
100093800CMedicaidKS
100093800DMedicaidKS
100093800BMedicaidKS
1578567384MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050601000610 KS Practitioner - Orthopedic Surgery 2961477534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

10710 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227

10720 Nall Ave
Overland Park, KS 66211-1206

10790 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 588-1227

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13939KSMDSocial Worker
C32504CAMDOrthopaedic Surgery Physician
38333COMDOrthopaedic Surgery Physician
R7372MOMDOrthopaedic Surgery Physician
04-13939KSMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Orthopaedic Surgery CurrentSince Apr 1, 2012 Accepting new patients
Kansas University Physicians Inc CurrentSince Apr 1, 2012 Accepting new patients
Pain & Wellness Clinic, Inc Past Accepting new patients
Kansas University Physicians Inc Past Accepting new patients
Midwest Division Spine Care LLC Orthopaedic Surgery Past Accepting new patients

Locations

3901 Rainbow Blvd
#3017
Kansas City, KS 66160
Phone (913) 588-0575

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

10730 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 574-1460

Interoperability endpoints

  • Direct secure messaging: lcordell144504@direct.kuha.org

Organizations & group practices 6

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1578567384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MS 3017",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-6100",
            "fax_number": "913-588-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MS 3017",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-6100",
            "fax_number": "913-588-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDELL",
        "first_name": "LARRY",
        "middle_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-13939",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R7372",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "38333",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C32504",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KS",
            "license": "04-13939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093800E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093800F",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093800C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093800D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093800B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578567384",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.