Northland Radiology, Inc.
Organization Active NPI Diagnostic Radiology Physician · Kansas City, MO
NPI 1679518260 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1679518260
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- NORTHLAND RADIOLOGY, INC.
- Practice address
- 2800 Clay Edwards Dr
Kansas City, MO 64116-3220 - Phone
- (816) 691-5201
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Ashley Jenkins
- Title
- Practice Manager
- Phone
- (816) 745-1433
Practitioners 24
-
David A Feiock, MD
-
Roger R Ivey, MD
-
Michael J Krahn, MD
-
Bradford Scott McCrary, MD PHD
-
Julia J. Neperud, MD
-
David Skelton, M.D.
-
Carl Lemar Van Tasell, M.D.
-
Jules Whiteman, MD
-
Patrick Willson O'Keefe, M.D.
-
Matthew James Sigley, D.O.
-
Gregg D Werner, M.D.
-
Barry R Cooper, MD
-
Sidney A Crawley, M.D.
-
Michelle L Pal, MD
-
John H. McMillan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050315000711 | MO | Part B Supplier - Clinic/Group Practice | 4284689043 |
Receives reassigned benefits from 19 practitioners Practice locations: Parkville, MO; N Kansas City, MO; Liberty, MO; Kansas City, MO; Greenwood, MO; Kearney, MO |
| O20250605002295 | KS | Part B Supplier - Clinic/Group Practice | 4284689043 |
Receives reassigned benefits from 11 practitioners Practice locations: Mission Woods, KS; Shawnee, KS; Prairie Village, KS; Overland Park, KS; Lenexa, KS; Leawood, KS; Hutchinson, KS |
National Provider Directory
Locations
5501 NW 62nd Ter
Ste 200
Kansas City, MO 64151
Phone (816) 691-1333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
2800 Clay Edwards Dr
Kansas City, MO 64116-3220
Mailing address
PO Box 30075
Omaha, NE 68103-1175
Phone (816) 745-1433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200671520A | Medicaid | KS | |
| 503618100 | Medicaid | MO | |
| CP5297 | Other | MO | RR MEDICARE |
| 5503014 | Other | MO | BCBSKC |
| MO20204B | Other | MO | BEECHSTREET/MULTIPLAN |
| 045747 | Other | MO | CMFHP |
Other providers in Kansas City, MO
- Northland Optical Center, LLC
- Northland Orthopedic Applicance Inc
- Northland Orthopedics & Sports Medicine, LLC
- Northland Psychiatric Specialists LLC
- Northland Psychiatry LLC
- Northland Rehabilitation & Health Care Center LLC
- Northland Spine and Rehabilitation, LLC
- Northland Wellness Center Inc
- Northland Women'S Health Care, P.C.
- Ryan Northup
All providers in Kansas City, MO · Diagnostic Radiology 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 Apr 20, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.