Active NPI
Robert Breeden, MD
- Pediatrics Physician
- Shawnee, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04-46574
- Practice address
- 7405 Renner Rd
Shawnee, KS 66217-9414 - Phone
- (913) 588-6300
- NPI assigned
- Apr 10, 2019
- Last updated
- Aug 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-46574 | KS | Primary |
Addresses
Primary practice location
7405 Renner Rd
Shawnee, KS 66217-9414
Mailing address
2106 Olathe Blvd Mailstop 4004
Kansas City, KS 66160-0001
Phone (913) 588-6300
Other practice location 1
2106 Olathe Blvd Mailstop 4004
Kansas City, KS 66160-4619
Phone (913) 588-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Pediatrics | Current | Accepting new patients |
| Jayhawk Primary Care Inc | Pediatrics | Current | Accepting new patients |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Jayhawk Primary Care Inc | Pediatrics | Current | Accepting new patients |
| Kansas University Physicians Inc | Pediatrics | Current | Accepting new patients |
| University of Kansas Hospital Authority | Past | Accepting new patients | |
| Kansas University Physicians Inc | Past | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200
Interoperability endpoints
- rbreeden623181@direct.kuha.org
Organizations & group practices 7
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.
-
dba Ku Medwest
- Family Medicine Physician
- Shawnee, KS
- NPI 1528025053
Pediatrics
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
Pediatrics
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
dba KU Childrens Center Foundation
- Pediatrics Physician
- Kansas City, KS
- NPI 1962548883
-
dba KU Internal Medicine
- Internal Medicine Physician
- Kansas City, KS
- NPI 1699811521
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1619430345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 OLATHE BLVD MAILSTOP 4004",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661600001",
"telephone_number": "913-588-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7405 RENNER RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662179414",
"telephone_number": "913-588-6300"
}
],
"practiceLocations": [
{
"address_1": "2106 Olathe Blvd Mailstop 4004",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661604619",
"country_code": "US",
"telephone_number": "913-588-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREEDEN",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2022-08-10",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-46574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.