Active NPI
Richard Allan Huseman, MD
- Internal Medicine Physician
- Shawnee Mission, KS
National Provider Identifier
1689614752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0416306
- Practice address
- 8901 W 74TH Street
Suite 120
Shawnee Mission, KS 66204 - Phone
- (913) 831-2430
- Fax
- (913) 831-0108
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R7110 | MO | |
| Internal Medicine Physician | 207R00000X | 0416306 | KS | Primary |
Addresses
Primary practice location
8901 W 74TH Street
Suite 120
Shawnee Mission, KS 66204
Mailing address
8901 W 74TH Street
Suite 120
Shawnee Mission, KS 66204
Phone (913) 831-2430
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100351340A | Medicaid | KS | |
| 608698 | Other | BCKS | |
| 06243020 | Other | BCKC | |
| HU201275914 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0416306 | KS | MD | Internal Medicine Physician |
| R7110 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavenworth County Dialysis LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Leavenworth, KS
- NPI 1588665954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1689614752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 W 74TH STREET",
"address_2": "SUITE 120",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "66204",
"telephone_number": "913-831-2430",
"fax_number": "913-831-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W 74TH STREET",
"address_2": "SUITE 120",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "66204",
"telephone_number": "913-831-2430",
"fax_number": "913-831-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSEMAN",
"first_name": "RICHARD",
"middle_name": "ALLAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R7110",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "0416306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100351340A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCKS",
"identifier": "608698",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCKC",
"identifier": "06243020",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HU201275914",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.