Individual provider Active NPI

Amanda Sommerville, M.D.

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1609219245
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2022015274 Issued in MO
Practice address
2301 Holmes St FL 4
Kansas City, MO 64108-2640
Phone
(816) 404-3990
NPI assigned
Apr 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2022015274 MO Primary
Pediatrics Physician 208000000X 2022015274 MO
Pediatrics Physician 208000000X 04-40412 KS
Internal Medicine Physician 207R00000X 04-40412 KS
Internal Medicine Physician 207R00000X 2013019954 MO

Addresses

Primary practice location

2301 Holmes St FL 4
Kansas City, MO 64108-2640

Mailing address

2310 Holmes St Ste 800
Kansas City, MO 64108-2602

Other practice location 1

2102 Baptiste Dr Ste A
Paola, KS 66071-1314
Phone (913) 557-5678

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
I20220610000503 MO Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9032412440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians
Ability KCGroup PAC ID 0143116368, 166 clinicians

Practice addresses (Care Compare)

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

Hospital & facility affiliations

  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Physicians Internal Medicine CurrentSince Jun 6, 2022 Accepting new patients
Truman Medical Centers, Inc. PastSince Jun 12, 2022 Accepting new patients

Locations

2211 Charlotte St
Ste 200
Kansas City, MO 64108
Phone (816) 404-4862

2301 Holmes St
Kansas City, MO 64108

2301 Holmes St
Fl 4
Kansas City, MO 64108
Phone (816) 404-3990

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

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

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.

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": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1609219245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOLMES ST STE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST FL 4",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-3990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2102 Baptiste Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Paola",
            "state": "KS",
            "postal_code": "660711314",
            "country_code": "US",
            "telephone_number": "913-557-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMMERVILLE",
        "first_name": "AMANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-13",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2022015274",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2022015274",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-40412",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-40412",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2013019954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.