Individual provider Active NPI

Ramon L Nichols, M.D.

  • Occupational Medicine Physician
  • Leavenworth, KS
National Provider Identifier
1619088879
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
R5D43 Issued in MO
Practice address
1100 N 4TH St
Leavenworth, KS 66048-1572
Phone
(913) 297-9945
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 04-26935 KS
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 04-29635 KS
Family Medicine Physician 207Q00000X R5D43 MO
Occupational Medicine Physician 2083X0100X R5D43 MO Primary

Addresses

Primary practice location

1100 N 4TH St
Leavenworth, KS 66048-1572

Mailing address

2741 NE McBaine Dr
Lees Summit, MO 64064-7880
Phone (913) 345-2223

Other practice location 1

2741 NE McBaine Dr
Lees Summit, MO 64064-7880
Phone (816) 554-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100422000989 KS Practitioner - Preventive MedicinePractitioner - Internal Medicine 6103953195 Reassigns benefits to 2 organizations
I20100422001020 MO Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Geriatric Medicine 6103953195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians
Emergent Care Plus LLCGroup PAC ID 0547328460, 18 clinicians

Practice addresses (Care Compare)

12130 S 71 Hwy
Grandview, MO 64030-1129
Phone (816) 780-2330

13761 Metcalf Ave
Overland Park, KS 66223-7899
Phone (913) 814-3788

2741 NE McBaine Dr
Lees Summit, MO 64064-7880
Phone (816) 554-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29635KSMDPreventive Medicine/Occupational Environmental Medicine Physician
04-26935KSMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Care Plus of Overland Park, LLC Family Medicine CurrentSince Dec 8, 2021 Accepting new patients
Emergent Care Plus, LLC Family Medicine CurrentSince Dec 10, 2019 Accepting new patients
Nextcare Missouri LLC CurrentSince Jun 1, 2024 Accepting new patients
Providence Urgent Care LLC CurrentSince Jun 1, 2024 Accepting new patients
Kansas Carenow Urgent Care LLC CurrentSince Jan 13, 2025 Accepting new patients
Brookside Health Services, Inc. Occupational Medicine PastSince Aug 30, 2010 Accepting new patients
New Liberty Hospital Corporation Family Medicine PastSince Oct 1, 2017 Accepting new patients
Geriatric Healthcare Services, LLC Past Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients
Adult Quick Care, LLC Past Accepting new patients
Geriatric Health Services, Inc. Past Accepting new patients
Christopher M. Brodine DPM, PA Past Accepting new patients
Integrated Health Providers LLC Past Accepting new patients

Locations

1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945

13761 Metcalf Ave
Overland Park, KS 66223
Phone (913) 814-3788

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824

12130 S US Highway 71
Grandview, MO 64030
Phone (816) 780-2330

2741 NE McBaine Dr
Lees Summit, MO 64064
Phone (816) 554-2600

1860 N Church Rd
Liberty, MO 64068
Phone (816) 368-8226

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619088879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 NE MCBAINE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640647880",
            "telephone_number": "913-345-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481572",
            "telephone_number": "913-297-9945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2741 NE McBaine Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640647880",
            "country_code": "US",
            "telephone_number": "816-554-2600",
            "fax_number": "816-554-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "RAMON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "KS",
            "license": "04-26935",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "KS",
            "license": "04-29635",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R5D43",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MO",
            "license": "R5D43",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.