Amy Nicole Dahl, MD

Primary specialty

Pediatric Radiology PhysicianTaxonomy code 2085P0229X

License

2010014073 Issued in MO

Practice address

2401 Gillham Rd
Children's Mercy Hospital
Kansas City, MO 64108

Phone

(816) 234-3373

Fax

(816) 983-6260

NPI assigned

May 3, 2007

Last updated

Sep 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Amy Nicole Gebauer Former name

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

Diagnostic Radiology

Education

Creighton University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SSM Cardinal Glennon Children's HospitalGroup PAC ID 7012828163, 35 clinicians

The Childrens Mercy HospitalGroup PAC ID 2466366026, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Children's Mercy Hospital Hospital, Kansas City, MO, CCN 263302

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Children's Mercy Hospital

  • Pediatrics Physician
  • Kansas City, MO
  • NPI 1851437719
  Medicare reassignment Care Compare group NPD
• SSM Cardinal Glennon Childrens Hospital

  dba SSM Health Cardinal Glennon Children's Hospital

  • Pediatrics Physician
  • O'Fallon, IL
  • NPI 1174577670

  MO

  Medicare reassignment Care Compare group NPD
• Saint Francis Medical Center

  dba Saint Francis Medical Center Anesthesia

  • Anesthesiology Physician
  • Cape Girardeau, MO
  • NPI 1356304489
  Medicare reassignment NPD
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016
  NPD
• Saint Francis Medical Center

  dba Saint Francis Clinic Jackson

  • Clinic/Center
  • Jackson, MO
  • NPI 1992502975
  NPD
• SSM Cardinal Glennon Children's Hospital

  dba SSM Health Cardinal Glennon Pediatrics

  • Pediatrics Physician
  • Warrenton, MO
  • NPI 1962573212
  NPD
• SSM Cardinal Glennon Childrens Hospital

  dba SSM Health Cardinal Glennon Pediatrics

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1073568226
  NPD
• The Children's Mercy Hospital

  dba Children's Mercy Riverside Pharmacy - Mail

  • Mail Order Pharmacy
  • Riverside, MO
  • NPI 1235923194
  NPD
• Iowa Radiology, P C

  • Diagnostic Radiology Physician
  • Clive, IA
  • NPI 1336107283
  NPD (past)

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

• The Children's Mercy Hospital

  • Children's Hospital
  • Kansas City, MO
  • NPI 1366515488
  Care Compare affiliation
• The Children's Mercy Hospital

  • Ambulance
  • Kansas City, MO
  • NPI 1942346804

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1720200124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 NW RIVER HILLS DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641523380",
            "telephone_number": "515-802-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "address_2": "CHILDREN'S MERCY HOSPITAL",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64108",
            "telephone_number": "816-234-3373",
            "fax_number": "816-983-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "KS",
            "license": "33229",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MO",
            "license": "2010014073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GEBAUER",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa J Daberkow Stalp, PHD
• Ally Dagbjartsdottir, LMSW
• Alicia Daggett, M.D.
• Lasya Daggumati
• Reda M Daher, D.O.
• David Carl Dahl, MD
• John P Dahl, M.D.
• Michael Dahl, MD
• Autumn Leah Dahlberg
• Tucker Stockton Dahle, DPT

• Pediatric Radiology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatric Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.