NPIMap

Organization Active NPI

St Lukes Hospital of Kansas City

  • Physical Medicine & Rehabilitation Physician
  • Kansas City, MO
National Provider Identifier
1598886285
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ST LUKES HOSPITAL OF KANSAS CITY
Practice address
4400 Broadway St
Kansas City, MO 64111-3498
Phone
(816) 931-3013
NPI assigned
Apr 2, 2007
Organization subpart
Yes
Parent organization
ST. LUKES HOSPITAL OF KANSAS CITYAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Jama L Johnson
Title
Cfo
Phone
(816) 932-2000

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20031112000506 MO Part B Supplier - Clinic/Group Practice 9436060084 Receives reassigned benefits from 8 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory
Part of
Multi Specialty Clinic

Locations

4400 Broadway Blvd
Kansas City, MO 64111
Phone (816) 561-8100

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4400 Broadway St
Kansas City, MO 64111-3498

Mailing address

PO Box 930841
Kansas City, MO 64193-0001
Phone (816) 931-3013

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2009.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1598886285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930841",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641930001",
            "telephone_number": "816-931-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-931-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES HOSPITAL OF KANSAS CITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKES HOSPITAL OF KANSAS CITY",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-932-2000"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.