Individual provider Active NPI

David L Ewing, MD

  • Neurology Physician
  • Saint Joseph, MO
National Provider Identifier
1639283369
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
31129 Issued in CO
Practice address
105 Far West Dr
Ste 201
Saint Joseph, MO 64506-3511
Phone
(816) 271-8182
Fax
(816) 271-8183
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2013006640 MO
Neurology Physician 2084N0400X 31129 CO Primary

Addresses

Primary practice location

105 Far West Dr
Ste 201
Saint Joseph, MO 64506-3511

Mailing address

105 Far West Dr
Ste 201
Saint Joseph, MO 64506-3511
Phone (816) 271-8182

Other practice location 1

3801 S National Ave Ste 900
Springfield, MO 65807-5210
Phone (417) 875-3000

Other identifiers 2

IdentifierTypeStateIssuer
01311299MedicaidCO
200003513MedicaidMO

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
I20130419000332 MO Practitioner - Neurology 2264436344 Reassigns benefits to 3 organizations
I20140930000902 KS Practitioner - Neurology 2264436344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, shared by 6 NPIs, 394 clinicians
SSM Regional Health ServicesGroup PAC ID 8921917352, shared by 13 NPIs, 165 clinicians
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

105 Far W Dr
St Joseph, MO 64506-3514

114 E S Hills Dr
Maryville, MO 64468-2659

2016 S Main St
Mosaic Life Care
Maryville, MO 64468-2655
Phone (660) 562-2600

2024 S Main St
Maryville, MO 64468-2655

3801 S National
Suite 900
Springfield, MO 65807-5210
Phone (417) 875-3000

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5301 Faraon St
Saint Joseph, MO 64506-3512
Phone (816) 271-7546

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

705 N College St
Northwest Medical Center
Albany, MO 64402-1433
Phone (660) 726-3941

820 Ravenhill Dr
Suite 103
Atchison, KS 66002-9230
Phone (816) 271-1200

901 Heartland Rd
Saint Joseph, MO 64506-6201

923 N Walnut St
Mosaic Life Care
Cameron, MO 64429-1341
Phone (816) 632-1799

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Mosaic Medical Center Albany Hospital, Albany, MO, CCN 261328
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340
  • Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31129COMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Apr 1, 2013 Accepting new patients
Lester E Cox Medical Centers Neurology CurrentSince Feb 20, 2023 Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients
Heartland Regional Medical Center CurrentSince Aug 19, 2014 Accepting new patients
Heartland Regional Medical Center Neurology Current Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Ozarks Medical Center Neurology Past Accepting new patients

Locations

800 Ravenhill Dr
#109
Atchison, KS 66002
Phone (816) 271-4025

207 S Main St
Troy, KS 66087
Phone (785) 985-2211

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

923 N Walnut St
Cameron, MO 64429
Phone (816) 632-1799

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

105 Far West Dr
Ste 201
Saint Joseph, MO 64506
Phone (816) 271-8182

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

3801 S National Ave
Ste 900
Springfield, MO 65807
Phone (417) 269-2710

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1639283369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DR",
            "address_2": "STE 201",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063511",
            "telephone_number": "816-271-8182",
            "fax_number": "816-271-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DR",
            "address_2": "STE 201",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063511",
            "telephone_number": "816-271-8182",
            "fax_number": "816-271-8183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 S National Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075210",
            "country_code": "US",
            "telephone_number": "417-875-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWING",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2013006640",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "31129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01311299",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003513",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.