Individual provider Active NPI

Carlos E Rivas-Gotz, MD

  • Cardiovascular Disease Physician
  • Kansas City, MO
National Provider Identifier
1700824331
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2002016798 Issued in MO
Practice address
4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Phone
(816) 931-1883
Fax
(816) 756-3645
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2002016798 MO Primary

Addresses

Primary practice location

4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 502-7117

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
I20050103000028 MO Practitioner - Cardiovascular Disease (Cardiology) 8022076496 Reassigns benefits to 3 organizations
I20060203000479 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022076496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

1001 6TH Ave
Leavenworth, KS 66048-3248

110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

12330 Metcalf Ave
Overland Park, KS 66213-1324

1307 E N Ave
Belton, MO 64012-5109
Phone (816) 251-5765

13200 State Line Rd
Leawood, KS 66209-1701
Phone (913) 222-8380

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5700

20 NE Saint Lukes Blvd
Lee'S Summit, MO 64086-6001

20 NE Saint Lukes Blvd
Suite 240
Lees Summit, MO 64086-6019
Phone (816) 931-1883

2791 N Washington St
Saint Lukes Medical Group
Chillicothe, MO 64601-2902
Phone (660) 646-2682

2799 N Washington St
Chillicothe, MO 64601-2902
Phone (660) 646-1480

3066 N Kentucky St
Iola, KS 66749-1951
Phone (620) 365-1211

421 S Maple St
Garnett, KS 66032-1334
Phone (785) 204-8000

4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Phone (816) 931-1883

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

5151 Troost Ave
Suite 200
Kansas City, MO 64110-2524
Phone (816) 502-9130

5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000

5844 NW Barry Rd
Kansas City, MO 64154-1421

5844 NW Barry Rd
Kansas City, MO 64154-1483

600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone (816) 932-4630

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100

Hospital & facility affiliations

  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002016798MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc Cardiovascular Disease CurrentSince Jan 1, 2018 Accepting new patients
Saint Lukes Hospital of Chillicothe Cardiovascular Disease CurrentSince Mar 1, 2017 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Aug 6, 2010 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Aug 6, 2010 Accepting new patients
Saint Luke'S Hospital of Trenton Cardiovascular Disease CurrentSince Feb 28, 2017 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Mar 1, 2017 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Feb 28, 2017 Accepting new patients
Saint Luke'S Hospital of Trenton Current Accepting new patients
Saint Luke'S Cardiology Services, LLC Cardiovascular Disease Past Accepting new patients
Sjmgroup Past Accepting new patients
Cushing Hospital Physician Services L.L.C. Cardiovascular Disease Past Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

1001 6th Ave
Ste 200
Leavenworth, KS 66048
Phone (913) 651-7151

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

13800 Metcalf Ave
Overland Park, KS 66223
Phone (800) 989-0525

12330 Metcalf Ave
Ste 280
Overland Park, KS 66213
Phone (913) 491-1000

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

2791 N Washington St
Chillicothe, MO 64601
Phone (816) 646-1480

603 E Gaines Dr
Clinton, MO 64735
Phone (660) 885-8141

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

4330 Wornall Rd
Ste 2000
Kansas City, MO 64111

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

20 NE Saint Lukes Blvd
Ste 240
Lees Summit, MO 64086

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Interoperability endpoints

  • Direct secure messaging: crivasgotz4456@direct.saint-lukes.org
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 11

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 7

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1700824331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-502-7117",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD",
            "address_2": "SUITE 2000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115939",
            "telephone_number": "816-931-1883",
            "fax_number": "816-756-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS-GOTZ",
        "first_name": "CARLOS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2002016798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.