Keenan R Berghoff, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

115623 Issued in MO

Practice address

2790 Clay Edwards Dr Ste 625
North Kansas City, MO 64116-3278

Phone

(816) 455-3990

Fax

(816) 455-5351

NPI assigned

Jun 6, 2006

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

General Surgery

Education

Indiana University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NKC Health Hospital, North Kansas City, MO, CCN 260096

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19317/brand/1/csg/1/fhir/r4

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.

• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1801875091
  Medicare reassignment Care Compare group NPD
• Meritas Health Corporation

  • Neurology Physician
  • Kansas City, MO
  • NPI 1669323291
  NPD
• Meritas Health Corporation

  dba NKC Health

  • Surgery Physician
  • North Kansas City, MO
  • NPI 1982886339
  NPD
• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1184917288
  NPD (past)
• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1619606159
  NPD (past)
• Saint Luke's Hospital of Kansas City

  dba Reflections Boutique

  • Prosthetic/Orthotic Supplier
  • Kansas City, MO
  • NPI 1700896958
  NPD (past)
• Saint Lukes Cancer Institute LLC

  • Surgical Oncology Physician
  • Kansas City, MO
  • NPI 1962458901

  Surgery

  NPD (past)
• Center for Surgical Sciences & Trauma, Inc

  dba Center for Surgical Sciences & Trauma

  • Surgery Physician
  • Indianapolis, IN
  • NPI 1225063167
  NPD (past)
• Community Hospitals of Indiana Inc

  dba Community Surgeons of Indiana

  • Surgery Physician
  • Indianapolis, IN
  • NPI 1477794832
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Southeast Surgical Associates, P.a.

  • Surgery Physician
  • San Antonio, TX
  • NPI 1821008939
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Kansas City Hospital

  dba Skilled Nursing Unit

  • Skilled Nursing Facility
  • North Kansas City, MO
  • NPI 1437103215

  Hospital

  Care Compare affiliation
• North Kansas City Hospital

  dba NKC Health

  • General Acute Care Hospital
  • North Kansas City, MO
  • NPI 1629062799
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1720027212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 625",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163278",
            "telephone_number": "816-455-3990",
            "fax_number": "816-455-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 625",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163278",
            "telephone_number": "816-455-3990",
            "fax_number": "816-455-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Clay Edwards Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163274",
            "country_code": "US",
            "telephone_number": "816-691-5048",
            "fax_number": "816-346-7039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGHOFF",
        "first_name": "KEENAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01063361A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "115623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000607167",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200855420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilee Bejarano, MSN, APRN, AGPCNP-C
• Kenna K Belshe, DO
• Jeffrey Scott Bennett
• Sydney Paige Benoit, PA
• Mary Ruth Benson, APRN
• Elizabeth Allison Ruth Berwaldt, FNP-BC
• Trenton Bickel
• Stephanie Bild, FNP-C
• Michael Rush Bissette
• Leopoldine Blaise, DNP

• Surgery Physician in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.