Individual provider Active NPI

Michael K. Deiparine, M.D.

  • Vascular Surgery Physician
  • Liberty, MO
National Provider Identifier
1720124191
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
108296 Issued in MO
Practice address
2521 Glenn Hendren Dr
Suite 112
Liberty, MO 64068-3388
Phone
(816) 781-5006
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 108296 MO Primary

Addresses

Primary practice location

2521 Glenn Hendren Dr
Suite 112
Liberty, MO 64068-3388

Mailing address

7904 Raines Rd
Liberty, MO 64068-8585
Phone (816) 415-0450

Other identifiers 1

IdentifierTypeStateIssuer
208014100MedicaidMO

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
I20111215000607 MO Practitioner - Vascular SurgeryPractitioner - General Surgery 0840464228 Reassigns benefits to 3 organizations
I20251201000631 KS Practitioner - Vascular SurgeryPractitioner - General Surgery 0840464228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Wisconsin School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Aortic and Vascular Institute PCGroup PAC ID 7911919360, 5 clinicians
Kansas City Vascular and General Surgery Group LLCGroup PAC ID 8224168927, 22 clinicians

Practice addresses (Care Compare)

2521 Glenn Hendren Dr
Suite 112
Liberty, MO 64068-3388
Phone (816) 842-5555

2750 Clay Edwards Dr
Suite 304
North Kansas City, MO 64116-3256
Phone (816) 842-5555

5100 W 110TH St
Suite 300
Overland Park, KS 66211-1215
Phone (913) 754-2800

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • Harrison County Community Hospital Hospital, Bethany, MO, CCN 261312

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

Merit-based Incentive Payment System (MIPS)

Final score
93.47 of 100Reported as individual
Quality
89.45
Promoting interoperability
98
Improvement activities
40
Cost
73.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion17
Leg revascularization (restoring blood flow)81
Removal of tissue13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Aortic & Vascular Institute, P.C. Vascular Surgery CurrentSince Jan 1, 2016 Accepting new patients
Kansas City Vascular & General Surgery Group LLC Vascular Surgery CurrentSince Dec 1, 2025 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Jun 6, 2016 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Jun 6, 2016 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Midwest Division - RMC, LLC Past Accepting new patients

Locations

5100 W 110th St
Ste 300
Overland Park, KS 66211
Phone (913) 449-1297

17065 S Outer Rd
Belton, MO 64012
Phone (816) 322-2000

1608 E Evergreen St
Ste D
Cameron, MO 64429
Phone (816) 632-3945

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2521 Glenn Hendren Dr
Ste 112
Liberty, MO 64068
Phone (816) 781-5006

2750 Clay Edwards Dr
Ste 320
North Kansas City, MO 64116
Phone (816) 421-0188

2750 Clay Edwards Dr
Ste 304
North Kansas City, MO 64116
Phone (816) 842-5555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1811/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.deiparine.1@1811.direct.athenahealth.com
  • Direct secure messaging: michael.deiparine@direct.tmcmed.org

Organizations & group practices 6

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 6

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1720124191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 RAINES RD",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640688585",
            "telephone_number": "816-415-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "address_2": "SUITE 112",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-781-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIPARINE",
        "first_name": "MICHAEL",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "108296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208014100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.