Micah Pescetto, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2008017197 Issued in MO

Practice address

4801 Linwood Blvd
Kansas City Veterans Hospital
Kansas City, MO 64128

Phone

(816) 861-4700

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1659592780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 RANDALL RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551606",
            "telephone_number": "816-305-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 LINWOOD BLVD",
            "address_2": "KANSAS CITY VETERANS HOSPITAL",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64128",
            "telephone_number": "816-861-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCETTO",
        "first_name": "MICAH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2008017197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Perrymann
• Personal & Family Development Services PTR
• Personal and Family Development Associates, Inc.
• Personalized Acute Medical Transportation LLC
• Mark E Persson, DDS
• Benjamin Petelin, DO
• Nicholas J. Petelin, CRNA
• Peter E. Shapiro, M.D., L.L.C.
• Allison Peter, AUD
• Christie Peterfish, DPT

• Internal Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.