Active NPI
Melinda A Roney, M.D.
- Family Medicine Physician
- Shawnee, KS
National Provider Identifier
1700840915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-35910
- Practice address
- 7405 Renner Rd
Shawnee, KS 66217-9414 - Phone
- (913) 588-8465
- Fax
- (913) 588-8529
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R5P55 | MO | |
| Family Medicine Physician | 207Q00000X | 04-35910 | KS | Primary |
Addresses
Primary practice location
7405 Renner Rd
Shawnee, KS 66217-9414
Mailing address
PO Box 411851
Kansas City, MO 64141-1851
Phone (913) 588-1944
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100163120E | Medicaid | KS | |
| R6P55 | Other | MO | STATE LICENSE NUMBER |
| P01577911 | Other | KS | RR MEDICARE |
| 04-35910 | Other | KS | KS LICENSE |
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 |
|---|---|---|---|
| 04-35910 | KS | MD | Family Medicine Physician |
| R5P55 | MO | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Family Care, P.C. | Family Medicine | Current | Accepting new patients |
| Marion Pain Center, LLC | Past | Accepting new patients |
Locations
9151 NE 81st Ter
Ste 100
Kansas City, MO 64158
Phone (816) 781-4740
2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1326002551
-
- Pain Medicine (Anesthesiology) Physician
- Marion, OH
- NPI 1326360082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1700840915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411851",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641411851",
"telephone_number": "913-588-1944",
"fax_number": "913-588-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7405 RENNER RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662179414",
"telephone_number": "913-588-8465",
"fax_number": "913-588-8529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONEY",
"first_name": "MELINDA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R5P55",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-35910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100163120E",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "R6P55",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01577911",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS LICENSE",
"identifier": "04-35910",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.