NPIMap

Individual provider Active NPI

Michael Joseph Latteier, MD

  • Orthopaedic Surgery Physician
  • Overland Park, KS
National Provider Identifier
1659585073
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
44813 Issued in AZ
Practice address
10701 Nall Ave
Suite 200
Overland Park, KS 66211-1358
Phone
(913) 381-5225
Fax
(913) 901-0186
NPI assigned
May 9, 2007
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 44813 AZ Primary
Orthopaedic Surgery Physician 207X00000X 4301080457 MI

Addresses

Primary practice location

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1358

Mailing address

12639 Old Tesson Rd
Suite 100
Saint Louis, MO 63128-2786
Phone (913) 381-5225

Other identifiers 2

IdentifierTypeStateIssuer
611377MedicaidAZ
3045805MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.latteier@direct.medfusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160628000725 MO Practitioner - Orthopedic Surgery 2567593080 Reassigns benefits to 1 organization
I20160628000912 KS Practitioner - Orthopedic Surgery 2567593080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Signature Medical Group of KC PAGroup PAC ID 7618144056, 27 clinicians

Practice addresses (Care Compare)

100 E Kansas St
Lansing, KS 66043-1610
Phone (913) 758-0283

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1358
Phone (913) 381-5225

3151 NE Carnegie Dr
Suite B
Lees Summit, MO 64064-3218
Phone (913) 381-5225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.44 of 100Reported as individual
Quality
80.23
Promoting interoperability
100
Improvement activities
40
Cost
77.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement45
Knee replacement82
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44813AZMDOrthopaedic Surgery Physician
4301080457MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Medical Group of KC, PA CurrentSince Aug 2, 2016 Accepting new patients
Signature Medical Group of KC, P.a. Orthopaedic Surgery CurrentSince Aug 2, 2016 Accepting new patients

Locations

10701 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 381-5225

1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100

3151 NE Carnegie Dr
Ste B
Lees Summit, MO 64064
Phone (816) 525-2800

12639 Old Tesson Rd
Ste 100
Saint Louis, MO 63128

Interoperability endpoints

  • Direct secure messaging: michael.latteier@kcbj.eclinicaldirectplus.com
  • Direct secure messaging: mlatteier755663@direct.kuha.org

Organizations & group practices 2

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 9

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1659585073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "913-381-5225",
            "fax_number": "913-901-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111358",
            "telephone_number": "913-381-5225",
            "fax_number": "913-901-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTEIER",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "44813",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301080457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611377",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3045805",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.latteier@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "10701 Nall Ave",
            "address_2": "Suite 200",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.