Individual provider Active NPI

Daniel Ensley, MD

  • Urology Physician
  • Independence, MO
National Provider Identifier
1720425424
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101257215 Issued in VA
Practice address
19001 E 48TH St S
Independence, MO 64055-6964
Phone
(816) 251-5100
Fax
(816) 795-0144
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101257215 VA Primary
Military Health Care Provider 171000000X
Surgery Physician 208600000X R74100 AZ

Addresses

Primary practice location

19001 E 48TH St S
Independence, MO 64055-6964

Mailing address

901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 251-5100

Other practice location 1

340 Boatner Rd
Eglin AFB, FL 32542-1391
Phone (850) 883-8347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20260529001667 KS Practitioner - Urology 1951727080
I20260529001927 MO Practitioner - Urology 1951727080

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 E 104TH St
Kansas City, MO 64131-4517

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R74100AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urologic Associates, Inc Urology PastSince Jul 13, 2026 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.

Hospital & facility affiliations 5

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1720425424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-251-5100",
            "fax_number": "816-795-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 E 48TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556964",
            "telephone_number": "816-251-5100",
            "fax_number": "816-795-0144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Boatner Rd",
            "address_purpose": "LOCATION",
            "city": "Eglin AFB",
            "state": "FL",
            "postal_code": "325421391",
            "country_code": "US",
            "telephone_number": "850-883-8347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENSLEY",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101257215",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R74100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.