Individual provider Active NPI

James Mitchelson, M.D.

  • Anesthesiology Physician
  • Omaha, NE
National Provider Identifier
1689055543
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
31729 Issued in NE
Practice address
Emile @ 42ND St
Omaha, NE 68198-4455
Phone
(402) 559-4081
NPI assigned
Jun 16, 2015
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 31729 NE Primary

Addresses

Primary practice location

Emile @ 42ND St
Omaha, NE 68198-4455

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

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
I20200803002370 MO Practitioner - Anesthesiology 5597079632 Reassigns benefits to 2 organizations
I20200826002042 KS Practitioner - Anesthesiology 5597079632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2015
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)

2700 Clay Edwards Dr
Suite 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31729NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PA Anesthesiology CurrentSince Jul 13, 2020 Accepting new patients
Meritas Health Corporation Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Meritas Health Corporation CurrentSince Feb 1, 2025 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

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

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

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 2

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1689055543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMILE @ 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681984455",
            "telephone_number": "402-559-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELSON",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "31729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.