Individual provider Active NPI

Andrea Kristine Anthony, M.D.

  • Pulmonary Disease Physician
  • North Kansas City, MO
National Provider Identifier
1669513156
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2007028757 Issued in MO
Practice address
2790 Clay Edwards Dr
Suite 605
North Kansas City, MO 64116-3276
Phone
(816) 691-5098
Fax
(816) 346-7401
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 04-3098 KS
Pulmonary Disease Physician 207RP1001X 04-30908 KS
Pulmonary Disease Physician 207RP1001X 2007028757 MO Primary

Addresses

Primary practice location

2790 Clay Edwards Dr
Suite 605
North Kansas City, MO 64116-3276

Mailing address

2790 Clay Edwards Dr
Suite 605
North Kansas City, MO 64116-3276
Phone (816) 691-5098

Other identifiers 1

IdentifierTypeStateIssuer
1669513156MedicaidMO

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
I20090902000382 MO Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3476568536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2790 Clay Edwards Dr
Suite 1250
North Kansas City, MO 64116-3260
Phone (816) 691-5098

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Phone (816) 691-2021

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-3098KSMDCritical Care Medicine (Internal Medicine) Physician
04-30908KSMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation CurrentSince Jul 1, 2013 Accepting new patients
Meritas Health Corporation Pulmonary Disease CurrentSince Jul 1, 2013 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

2790 Clay Edwards Dr
Ste 605
North Kansas City, MO 64116
Phone (816) 691-5098

2790 Clay Edwards Dr
Ste 520
North Kansas City, MO 64116
Phone (816) 551-6750

2790 Clay Edwards Dr
Ste 1250
North Kansas City, MO 64116
Phone (816) 421-3700

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

Organizations & group practices 6

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 4

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1669513156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 605",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-691-5098",
            "fax_number": "816-346-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 605",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-691-5098",
            "fax_number": "816-346-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "ANDREA",
        "middle_name": "KRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KS",
            "license": "04-3098",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "04-30908",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2007028757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669513156",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.