Individual provider Active NPI

Manuel Morales, M.D.

  • Psychiatry Physician
  • Leawood, KS
National Provider Identifier
1578586830
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-18327 Issued in KS
Practice address
4707 College Blvd
Suite 213
Leawood, KS 66211-1603
Phone
(913) 663-3000
Fax
(913) 663-1115
NPI assigned
Jul 26, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-18327 KS Primary

Addresses

Primary practice location

4707 College Blvd
Suite 213
Leawood, KS 66211-1603

Mailing address

4707 College Blvd
Suite 213
Leawood, KS 66211-1603
Phone (913) 663-3000

Other identifiers 1

IdentifierTypeStateIssuer
04-18327OtherKSKANSAS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050822000912 MO Practitioner - Psychiatry 3072544881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

300 W 19TH Ter
Futures Child and Family Services
Kansas City, MO 64108-2026
Phone (816) 404-5755

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-18327KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Physicians CurrentSince Nov 1, 2016 Accepting new patients
Teresa Varanka MD LLC Past Accepting new patients
Kevin H. Connaghan PA PastSince Jun 1, 2001 Accepting new patients

Locations

2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

Interoperability endpoints

  • Direct secure messaging: manuel.morales@direct.tmcmed.org

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 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1578586830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 COLLEGE BLVD",
            "address_2": "SUITE 213",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111603",
            "telephone_number": "913-663-3000",
            "fax_number": "913-663-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 COLLEGE BLVD",
            "address_2": "SUITE 213",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111603",
            "telephone_number": "913-663-3000",
            "fax_number": "913-663-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-18327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "04-18327",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.