Kenneth Koontz, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R3M47 Issued in MO

Practice address

1000 Carondelet Dr
Kansas City, MO 64114-4673

Phone

(913) 599-6777

Fax

(913) 599-3955

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO, KS, WI3 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 3

Specialty

Diagnostic Radiology

Education

University of Kansas School of Med (KC/Wich/Sal), 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Radiology PAGroup PAC ID 8426961517, 37 clinicians

Johnson County Imaging Center LLCGroup PAC ID 8628978053, 31 clinicians

Bates County Memorial HospitalGroup PAC ID 8123937356, 66 clinicians

Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

Regional Imaging, LLCGroup PAC ID 5991713885, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009
• St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085
• Liberty Hospital Hospital, Liberty, MO, CCN 260177
• Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

Merit-based Incentive Payment System (MIPS)

Final score

86.58 of 100Reported as group

Quality

85.89

Promoting interoperability

100

Improvement activities

40

Cost

67.43

Merit-based Incentive Payment System (MIPS)

Final score

38.1 of 100Reported as group

Quality

27.18

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bates County Memorial Hospital

  • Surgery Physician
  • Butler, MO
  • NPI 1740311471
  Medicare reassignment Care Compare group NPD
• Nevada City Hospital

  • Rural Acute Care Hospital
  • Nevada, MO
  • NPI 1942283866
  Medicare reassignment Care Compare group NPD
• Alliance Radiology, PA

  • Diagnostic Radiology Physician
  • Shawnee Mission, KS
  • NPI 1467400663

  MO

  Medicare reassignment Care Compare group NPD
• Johnson County Imaging Center LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1720135114

  MO

  Medicare reassignment Care Compare group
• Regional Imaging, LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1992768683
  Medicare reassignment Care Compare group
• Chippewa Valley Hospital & Oakview Care Center Inc.

  • Emergency Medicine Physician
  • Durand, WI
  • NPI 1659471068

  Diagnostic Radiology, KS

  Medicare reassignment NPD
• Chippewa Valley Hospital & Oakview Care Center, Inc.

  • Critical Access Hospital
  • Durand, WI
  • NPI 1194737817
  Medicare reassignment NPD
• Bates County Memorial Hospital

  • Rural Health Clinic/Center
  • Rich Hill, MO
  • NPI 1477009959
  NPD
• Bates County Memorial Hospital

  • Rural Health Clinic/Center
  • Butler, MO
  • NPI 1669606588
  NPD
• Nevada City Hospital

  • Rural Health Clinic/Center
  • Nevada, MO
  • NPI 1730805136
  NPD
• Mawd Pathologists, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
  • NPI 1376209130
  NPD
• Mawd Pathology Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
  • NPI 1033108519
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bothwell Regional Health Center

  • General Acute Care Hospital
  • Sedalia, MO
  • NPI 1235102690
  Care Compare affiliation
• Bothwell Regional Health Center

  • Rural Health Clinic/Center
  • Cole Camp, MO
  • NPI 1497705313

  Hospital

  Care Compare affiliation
• New Liberty Hospital Corporation

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1548001464
  Care Compare affiliation
• Prime Healthcare Services - Kansas City, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1528463080
  Care Compare affiliation
• Western Missouri Medical Center

  • General Acute Care Hospital
  • Warrensburg, MO
  • NPI 1083601330
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1689613093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 W 110TH ST",
            "address_2": "STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102382",
            "telephone_number": "913-599-6777",
            "fax_number": "913-599-3955"
        },
        {
            "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": "913-599-6777",
            "fax_number": "913-599-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "4272-320",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R3M47",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "16332035",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126630B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203305107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyong-Yun Kong, DDS
• Layne O'Bryan Konneman, DDS
• Kono Care Services
• Ann Michelle Konopasek-Morris, RN
• Mark Charles Konrade, PHARMD
• Andre Koop
• Brad W Koper
• Arianne Kopf, RPT
• Timothy Kopplin, PHARMD
• Kris A Koppy, LPC

• Diagnostic Radiology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.