Individual provider Active NPI

Patrick J Greenwood, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1679572606
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
MD105378 Issued in MO
Practice address
1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone
(800) 968-6866
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD105378 MO
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD105378 MO Primary

Addresses

Primary practice location

1000 Carondelet Dr
Kansas City, MO 64114-4673

Mailing address

PO Box 2747
Shawnee Mission, KS 66201-2747
Phone (800) 968-6866

Other identifiers 3

IdentifierTypeStateIssuer
20847017OtherBLUE CROSS BLUE SHIELD
206980302MedicaidMO
100188160AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060426000306 MO Practitioner - Emergency Medicine 9931119674 Reassigns benefits to 3 organizations
I20121116000472 KS Practitioner - Emergency Medicine 9931119674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Columbia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ray County Memorial HospitalGroup PAC ID 4688560634, 26 clinicians

Practice addresses (Care Compare)

904 Wollard Blvd
Richmond, MO 64085-2229
Phone (816) 470-5432

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD105378MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ray County Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Camden Emergency Group LLC Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Hyperbaric Oxygen of Kansas City Inc. Past Accepting new patients
Medevac Midamerica Inc Past Accepting new patients
Carondelet Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Prapas Gerjarusak MD PA Past Accepting new patients
VA Eastern Kansas Health Care System Emergency Medicine Past Accepting new patients
Liberty Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432

Interoperability endpoints

  • Direct secure messaging: pgreenwood746203@direct.ochin.org

Organizations & group practices 9

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 1

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1679572606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2747",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662012747",
            "telephone_number": "800-968-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "800-968-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "MD105378",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MO",
            "license": "MD105378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20847017",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206980302",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100188160A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.