Active NPI
Brandon D Pomeroy, MD
- Urology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2001023021
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004377260004 | Medicaid | KS | |
| 205752603 | Medicaid | MO | |
| 340019585 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Hospital of Chillicothe
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
- St Lukes Hospital of Kansas City
- Allen County Regional Hospital
- Saint Luke'S South Hospital
- Golden Valley Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-27485 | KS | MD | Urology Physician |
| 2001023021 | MO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Saint Luke'S Hospital of Allen County, Inc | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Clinton, MO
- NPI 1003873266
-
- Emergency Medicine Physician
- Chillicothe, MO
- NPI 1245433127
-
- Critical Access Hospital
- Chillicothe, MO
- NPI 1912948308
-
- Critical Access Hospital
- Iola, KS
- NPI 1639185457
-
- Clinic/Center
- Clinton, MO
- NPI 1396379830
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
-
- Medicare Defined Swing Bed Hospital Unit
- Chillicothe, MO
- NPI 1881638203
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
-
- Critical Access Hospital
- Chillicothe, MO
- NPI 1912948308
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
-
- Critical Access Hospital
- Iola, KS
- NPI 1639185457
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.