Individual provider Active NPI

Kyle Jefferson Busch, DO

  • Orthopaedic Surgery Physician
  • North Kansas City, MO
National Provider Identifier
1659892859
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2017018448 Issued in MO
Practice address
2790 Clay Edwards Dr Ste 650
North Kansas City, MO 64116-3279
Phone
(816) 459-7500
Fax
(816) 459-9611
NPI assigned
Jun 28, 2017
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 0102207105 VA
Orthopaedic Surgery Physician 207X00000X 2017018448 MO Primary

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 650
North Kansas City, MO 64116-3279

Mailing address

2790 Clay Edwards Dr Ste 650
North Kansas City, MO 64116-3279
Phone (816) 459-7500

Other practice location 1

1501 Maple Ave Ste 200
Richmond, VA 23226-2553
Phone (804) 285-2300

Other practice location 2

8266 Atlee Rd Ste 125
Mechanicsville, VA 23116-1805
Phone (804) 285-2300

Other practice location 3

3400 Haydenpark Ln Ste 100
Henrico, VA 23233-7867
Phone (804) 285-2300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220310000642 MO Practitioner - Orthopedic SurgeryPractitioner - General Practice 1951702802 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Sports Medicine Center LLCGroup PAC ID 5294700449, 20 clinicians

Practice addresses (Care Compare)

3107 Frederick Ave
Suite B
Saint Joseph, MO 64506-3082
Phone (816) 233-9888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017018448MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Center LLC Orthopaedic Surgery CurrentSince Jun 1, 2025 Accepting new patients
Orthopedic & Sports Medicine Center, LLC Orthopaedic Surgery CurrentSince Jun 1, 2025 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Aug 29, 2023 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Aug 29, 2023 Accepting new patients

Locations

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

3107 Frederick Ave
Ste B
Saint Joseph, MO 64506
Phone (816) 233-9888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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 3

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1659892859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 650",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163279",
            "telephone_number": "816-459-7500",
            "fax_number": "816-459-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 650",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163279",
            "telephone_number": "816-459-7500",
            "fax_number": "816-459-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Maple Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232262553",
            "country_code": "US",
            "telephone_number": "804-285-2300",
            "fax_number": "804-418-3062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8266 Atlee Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231161805",
            "country_code": "US",
            "telephone_number": "804-285-2300",
            "fax_number": "804-418-3062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Haydenpark Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232337867",
            "country_code": "US",
            "telephone_number": "804-285-2300",
            "fax_number": "804-308-8344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "KYLE",
        "middle_name": "JEFFERSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0102207105",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2017018448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.