Organization Active NPI

Douglas B Knox MD PA

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1639368442
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
106993 Issued in MO
Legal business name
DOUGLAS B KNOX MD PA
Practice address
1010 Carondelet Dr
Suite 140
Kansas City, MO 64114-4859
Phone
(816) 943-0199
Fax
(816) 943-0323
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Douglas B Knox, MDNPI 1043212293
Title
President
Phone
(816) 943-0199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 106993 MO Primary

Addresses

Primary practice location

1010 Carondelet Dr
Suite 140
Kansas City, MO 64114-4859

Mailing address

PO Box 931043
Kansas City, MO 64193-0001
Phone (816) 943-0199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040224000469 KS Part B Supplier - Clinic/Group Practice 2365338704 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS
O20040305000365 MO Part B Supplier - Clinic/Group Practice 2365338704 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO; Raytown, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0909123Douglas B Knox MD, PA1010 Carondelet Drive, Suite 140, Kansas City, MO 64114Provider-performed microscopyJun 30, 2026

National Provider Directory

National Provider Directory

Locations

621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300

10731 State Line Rd
Kansas City, MO 64114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1639368442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931043",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641930001",
            "telephone_number": "816-943-0199",
            "fax_number": "816-943-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 140",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-943-0199",
            "fax_number": "816-943-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS B KNOX MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-943-0199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "106993",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.