Individual provider Active NPI

Adeel Pervez, MD

  • Pulmonary Disease Physician
  • Blue Springs, MO
National Provider Identifier
1710933825
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2013029752 Issued in MO
Practice address
206 NW Mock Ave Ste 200
Blue Springs, MO 64014-2530
Phone
(816) 416-8633
Fax
(816) 416-8644
NPI assigned
May 26, 2006
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2013029752 MO
Pulmonary Disease Physician 207RP1001X 2013029752 MO Primary
Pulmonary Disease Physician 207RP1001X MD425350 PA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 2013029752 MO

Addresses

Primary practice location

206 NW Mock Ave Ste 200
Blue Springs, MO 64014-2530

Mailing address

206 NW Mock Ave Ste 200
Blue Springs, MO 64014-2530
Phone (816) 416-8635

Other identifiers 1

IdentifierTypeStateIssuer
2695847OtherPABLUE SHIELD

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
I20140110000371 MO Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 3274538004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as group
Quality
61.06
Promoting interoperability
99
Improvement activities
40
Cost
74.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013029752MOMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Kansas City - Physician Services LLC Critical Care Medicine CurrentSince May 18, 2020 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

206 NW Mock Ave
Ste 200
Blue Springs, MO 64014
Phone (816) 224-8999

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

1000 Carondelet Dr
Ofc
Kansas City, MO 64114
Phone (816) 943-7604

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1710933825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NW MOCK AVE STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142530",
            "telephone_number": "816-416-8635",
            "fax_number": "816-416-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NW MOCK AVE STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142530",
            "telephone_number": "816-416-8633",
            "fax_number": "816-416-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVEZ",
        "first_name": "ADEEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2013029752",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2013029752",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD425350",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MO",
            "license": "2013029752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2695847",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.