Individual provider Active NPI

Douglas J McKee, MD

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1639164221
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD R9F30 Issued in MO
Practice address
6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150
Phone
(816) 363-7710
Fax
(816) 363-8414
NPI assigned
Sep 20, 2005
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05-21341 KS
Internal Medicine Physician 207R00000X MD R9F30 MO Primary

Addresses

Primary practice location

6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150

Mailing address

6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150
Phone (816) 363-7710

Other identifiers 3

IdentifierTypeStateIssuer
100453400 CMedicaidKS
100453400BMedicaidKS
209083807MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DOUGLAS.MCKEE@hca2.eclinicaldirectplus.com

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
I20061208000284 MO Practitioner - Internal Medicine 9537168133 Reassigns benefits to 1 organization
I20070425000437 KS Practitioner - Internal Medicine 9537168133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability KCGroup PAC ID 0143116368, 166 clinicians
Medical Group of Kansas City LLCGroup PAC ID 8921091455, 11 clinicians

Practice addresses (Care Compare)

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (816) 276-4000

6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1167
Phone (816) 363-7710

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-21341KSMDInternal Medicine Physician
MD R9F30MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of Kansas City, LLC Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
State Line Medical Group LLC Internal Medicine Past Accepting new patients
Independence Regional Medical Group LLC Past Accepting new patients

Locations

5701 W 119th St
Ste 115
Overland Park, KS 66209
Phone (816) 363-7710

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

6675 Holmes Rd
Ste 550
Kansas City, MO 64131
Phone (816) 363-7710

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

Interoperability endpoints

  • Direct secure messaging: douglas.mckee@hca2.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1639164221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "SUITE 550",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311150",
            "telephone_number": "816-363-7710",
            "fax_number": "816-363-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "SUITE 550",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311150",
            "telephone_number": "816-363-7710",
            "fax_number": "816-363-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-21341",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MD R9F30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100453400 C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100453400B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209083807",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DOUGLAS.MCKEE@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6675 Holmes Rd",
            "address_2": "SUITE 550",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641311150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.