Camille Y. Honesty, M.D.
Individual provider Active NPI Hospitalist Physician · Kansas City, MO
NPI 1679515225 · NPPES record last updated Jan 4, 2017
Key facts
- NPI
- 1679515225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 2000146097 (MO)
- Practice address
- 4401 Wornall Rd
Kansas City, MO 64111-3220 - Phone
- (816) 932-0340
- Fax
- (816) 932-3148
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Rush Medical College of Rush University, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| St Lukes Hospital of Kansas City |
Hospital | Corporate Director | Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051005000847 | MO | Practitioner - Hospitalist |
0648205914 | Reassigns benefits to 1 organization |
| I20070212000586 | KS | Practitioner - Hospitalist |
0648205914 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-28518 | KS | MD | Internal Medicine Physician |
| 2000146097 | MO | MD | Internal Medicine Physician |
| 0428518 | KS | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Internal Medicine | Current |
Accepting new patients |
| St Lukes Hospital of Kansas City | Past | Accepting new patients | |
| Kansas City Care Clinic | Past |
Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
5405 W 151st St
Leawood, KS 66224
Phone (913) 323-8830
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
6750 Antioch Rd
Ste 210
Shawnee Mission, KS 66204
Phone (888) 631-3938
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2000146097 | MO | Yes |
| Hospitalist Physician | 208M00000X | 0428518 | KS | |
| Internal Medicine Physician | 207R00000X | 2000146097 | MO | |
| Internal Medicine Physician | 207R00000X | 04-28518 | KS |
Addresses
Primary practice location
4401 Wornall Rd
Kansas City, MO 64111-3220
Mailing address
901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 502-8752
Other names
- Camille Y. Simon
Other providers in Kansas City, MO
- Homecare KC LLC
- Homepath Care Solutions LLC
- Kyle Jon Hommer
- Kenri Honda
- Edwina E Honderick
- Honey Bee Recovery
- Honey-Bee Home Health LLC
- Suk Woo Hong
- Dawn Leeayn Hood
- Michelle J Hood
All providers in Kansas City, MO · Hospitalist Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.