Individual provider Active NPI

James Ray Trahan, MD

  • Psychiatry Physician
  • Kansas City, MO
National Provider Identifier
1699863019
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27031 Issued in IA
Practice address
211 NE 54TH St Ste 201
Kansas City, MO 64118-4330
Phone
(816) 453-6777
Fax
(816) 454-3601
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 27031 IA Primary

Addresses

Primary practice location

211 NE 54TH St Ste 201
Kansas City, MO 64118-4330

Mailing address

PO Box 505260
Saint Louis, MO 63150-5260
Phone (816) 436-7072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180822002789 MO Practitioner - Psychiatry 8729147103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

211 NE 54TH St
Suite 201
Kansas City, MO 64118-4330
Phone (816) 453-6777

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
27031IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation CurrentSince Sep 1, 2018 Accepting new patients
Meritas Health Psychiatry CurrentSince Sep 1, 2018 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

211 NE 54th St
Ste 2
Kansas City, MO 64118
Phone (816) 453-6777

211 NE 54th St
Ste 201
Kansas City, MO 64118
Phone (816) 453-6777

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

Organizations & group practices 6

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1699863019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505260",
            "telephone_number": "816-436-7072",
            "fax_number": "816-436-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NE 54TH ST STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184330",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "JAMES",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "27031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.