Individual provider Active NPI

Samuel D Hoeper Jr., MD

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1700877792
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5246 Issued in MO
Practice address
2330 E Meyer Blvd
Suite 101
Kansas City, MO 64132-1132
Phone
(816) 276-9800
Fax
(816) 363-4393
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-25017 KS
Internal Medicine Physician 207R00000X R5246 MO Primary

Addresses

Primary practice location

2330 E Meyer Blvd
Suite 101
Kansas City, MO 64132-1132

Mailing address

6420 Prospect Ave
Suite T101
Kansas City, MO 64132-4147
Phone (816) 363-4100

Other identifiers 2

IdentifierTypeStateIssuer
200307350MedicaidKS
200686012MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SAMUEL.HOEPER@hca2.eclinicaldirectplus.com

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

LicenseStateTypeSpecialty
04-25017KSMDInternal Medicine Physician
R5246MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Scott Steeves, 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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1700877792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 PROSPECT AVE",
            "address_2": "SUITE T101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324147",
            "telephone_number": "816-363-4100",
            "fax_number": "816-363-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E MEYER BLVD",
            "address_2": "SUITE 101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321132",
            "telephone_number": "816-276-9800",
            "fax_number": "816-363-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEPER",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-25017",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200307350",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200686012",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SAMUEL.HOEPER@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2330 E Meyer Blvd",
            "address_2": "SUITE 101",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641321132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.