Active NPI
Stefan Eichenauer, M.D.
- Physical Medicine & Rehabilitation Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2016023767
- Practice address
- 4400 Broadway
Suite 540
Kansas City, MO 64111-3498 - Phone
- (816) 531-4080
- Fax
- (816) 932-6211
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2016023767 | MO | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 04-39027 | KS |
Addresses
Primary practice location
4400 Broadway
Suite 540
Kansas City, MO 64111-3498
Mailing address
901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 502-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240927000191 | IL | Practitioner - Physical Medicine and Rehabilitation | 5890094965 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
2200 Fort Jesse Rd
Suite 200
Normal, IL 61761-6289
Phone (309) 661-6240
2500 W Reynolds St
Pontiac, IL 61764-9774
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Saint James Hospital
- Osf Saint Elizabeth MDL Ctr
- St Joseph Medical Center
- Saint Francis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 73.83
- Improvement activities
- 40
- Cost
- 45.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-39027 | KS | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2200 Fort Jesse Rd
Ste 200
Normal, IL 61761
Phone (309) 661-6240
2200 Fort Jesse Rd
Ste 210
Normal, IL 61761
Phone (309) 661-6230
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2500 W Reynolds St
Ste 210
Pontiac, IL 61764
Phone (309) 661-6230
702 S Rittenhouse Dr
Pontiac, IL 61764
Phone (309) 662-9461
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1598021479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517",
"telephone_number": "816-502-7000",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BROADWAY",
"address_2": "SUITE 540",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113498",
"telephone_number": "816-531-4080",
"fax_number": "816-932-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHENAUER",
"first_name": "STEFAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2016023767",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KS",
"license": "04-39027",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.