Individual provider Active NPI

Brandon D Pomeroy, MD

  • Urology Physician
  • Kansas City, MO
National Provider Identifier
1619927720
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2001023021 Issued in MO
Practice address
4321 Washington St
Suite 5300
Kansas City, MO 64111-5961
Phone
(816) 531-1234
Fax
(816) 531-0737
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2001023021 MO Primary
Urology Physician 208800000X 04-27485 KS

Addresses

Primary practice location

4321 Washington St
Suite 5300
Kansas City, MO 64111-5961

Mailing address

8551 Bluejacket St
Lenexa, KS 66214-1656
Phone (913) 341-7985

Other identifiers 3

IdentifierTypeStateIssuer
30004377260004MedicaidKS
205752603MedicaidMO
340019585OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20120120000414 MO Practitioner - Urology 2668578352 Reassigns benefits to 4 organizations
I20120426000335 KS Practitioner - Urology 2668578352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians
Saint Lukes Hospital of ChillicotheGroup PAC ID 0143130393, shared by 4 NPIs, 25 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985

17525 Medical Ctr Pkwy
Independence, MO 64057-1824
Phone (816) 994-3150

2750 Clay Edwards Dr
North Kansas City, MO 64116-3258
Phone (816) 524-1007

2791 N Washington St
Chillicothe, MO 64601-2902
Phone (816) 646-1480

4321 Washington St
Suite 5300
Kansas City, MO 64111-5931
Phone (816) 531-1234

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-2000

451 NW Murray Rd
Lees Summit, MO 64081-1425
Phone (816) 524-1007

8551 Bluejacket St
Lenexa, KS 66214-1656

Hospital & facility affiliations

  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Allen County Regional Hospital Hospital, Iola, KS, CCN 171373
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-27485KSMDUrology Physician
2001023021MOMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District CurrentSince Aug 1, 2015 Accepting new patients
Saint Luke'S Hospital of Allen County, Inc Current Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Jan 1, 2018 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 1, 2015 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Jul 1, 2025 Accepting new patients
Golden Valley Memorial Hospital District Current Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Jan 1, 2018 Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

2791 N Washington St
Chillicothe, MO 64601
Phone (816) 646-1480

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

Interoperability endpoints

  • Direct secure messaging: brandon.pomeroy.1@19814.direct.athenahealth.com

Organizations & group practices 8

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 7

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1619927720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 BLUEJACKET ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141656",
            "telephone_number": "913-341-7985",
            "fax_number": "913-341-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST",
            "address_2": "SUITE 5300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115961",
            "telephone_number": "816-531-1234",
            "fax_number": "816-531-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "BRANDON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2001023021",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "04-27485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004377260004",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205752603",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "340019585",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.