Individual provider Active NPI

Robert E Tanenbaum, MD

  • Cardiovascular Disease Physician
  • Kansas City, MO
National Provider Identifier
1619976883
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
108594 Issued in MO
Practice address
4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939
Phone
(816) 931-1883
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 108594 MO Primary

Addresses

Primary practice location

4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 599-9261

Other practice location 1

9119 W 74th St
Suite 350
Shawnee Mission, KS 66204-2215
Phone (913) 789-3290

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
I20050224000448 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8123071610 Reassigns benefits to 2 organizations
I20051029000341 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8123071610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Georgetown University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

12330 Metcalf Ave
Suite 280
Overland Park, KS 66213-1302
Phone (816) 931-1883

4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Phone (816) 931-1883

Hospital & facility affiliations

  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097
  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108594MOMDCardiovascular Disease Physician
108614MOMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc Cardiovascular Disease CurrentSince Jan 1, 2018 Accepting new patients
Saint Luke'S Hospital of Trenton Current Accepting new patients
Saint Luke'S Hospital of Trenton Cardiovascular Disease CurrentSince Aug 31, 2014 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Aug 31, 2014 Accepting new patients
Clinical Cardiovascular Associates, P.a. Cardiovascular Disease Current Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients
Saint Lukes Hospital of Garnett Inc Past Accepting new patients
Clinical Cardiovascular Associates PA Cardiovascular Disease Past Accepting new patients
Centerpoint Cardiology Services LLC Cardiovascular Disease Past Accepting new patients

Locations

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

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

10308 State Line Rd
Leawood, KS 66206
Phone (913) 381-6996

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12330 Metcalf Ave
Ste 280
Overland Park, KS 66213
Phone (913) 491-1000

13800 Metcalf Ave
Overland Park, KS 66223
Phone (800) 989-0525

9119 W 74th St
Ste 350
Shawnee Msn, KS 66204
Phone (913) 632-9400

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

408 E 7th St
Appleton City, MO 64724
Phone (660) 476-2111

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

19550 E 39th St S
#227
Independence, MO 64057
Phone (816) 795-9716

19550 E 39th St S
Ste 225
Independence, MO 64057
Phone (816) 228-2060

4320 Wornall Rd
Ste 50
Kansas City, MO 64111
Phone (816) 531-5510

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

4330 Wornall Rd
Ste 2000
Kansas City, MO 64111

930 Carondelet Dr
Ste 201
Kansas City, MO 64114
Phone (785) 943-3955

20 NE Saint Lukes Blvd
Ste 240
Lees Summit, MO 64086

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Interoperability endpoints

  • Direct secure messaging: rtanenbaum67805@direct.saint-lukes.org
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 9

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1619976883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-599-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD STE 2000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115939",
            "telephone_number": "816-931-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9119 W 74th St",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Shawnee Mission",
            "state": "KS",
            "postal_code": "662042215",
            "country_code": "US",
            "telephone_number": "913-789-3290",
            "fax_number": "913-789-3208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANENBAUM",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "108594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.