Active NPI
Heidi B Kuttenkuler, D.O.
- Hospitalist Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 05-29948
- Practice address
- 4401 Wornall Rd
Kansas City, MO 64111-3220 - Phone
- (816) 932-0340
- Fax
- (816) 932-3148
- NPI assigned
- Aug 24, 2005
- Last updated
- Jan 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 05-29948 | KS | |
| Internal Medicine Physician | 207R00000X | 2002029298 | MO | |
| Hospitalist Physician | 208M00000X | 05-29948 | KS | Primary |
Addresses
Primary practice location
4401 Wornall Rd
Kansas City, MO 64111-3220
Mailing address
901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 502-8752
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100447380C | Medicaid | KS | |
| 510610 | Other | FIRST GUARD | |
| 32019016 | Other | BCBS |
Other names 1
- Ms. Heidi Brandt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002029298 | MO | MD | Internal Medicine Physician |
| 05-29948 | KS | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke's Physician Group Inc | Internal Medicine | Current | Accepting new patients |
| Midwest Hospital Specialists, P.a. | Internal Medicine | Past | Accepting new patients |
| Hospital Health Care Inc. | Internal Medicine | Past | Accepting new patients |
Locations
1001 6th Ave
Ste 340
Leavenworth, KS 66048
Phone (913) 651-7151
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
5405 W 151st St
Leawood, KS 66224
Phone (913) 323-8830
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
4401 Wornall Rd
#4
Kansas City, MO 64111
Phone (816) 932-2020
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
301 NE Mulberry St
Ste 202
Lees Summit, MO 64086
Phone (816) 251-5710
2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- hkuttenkuler86600@direct.saint-lukes.org
Organizations & group practices 3
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.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
Internal Medicine, KS
-
dba Clarkston Primary Care
- Internal Medicine Physician
- Pontiac, MI
- NPI 1609970359
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1013901404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1730172859",
"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": "816-502-8752",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 WORNALL RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113220",
"telephone_number": "816-932-0340",
"fax_number": "816-932-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTTENKULER",
"first_name": "HEIDI",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "05-29948",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2002029298",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KS",
"license": "05-29948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100447380C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST GUARD",
"identifier": "510610",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "32019016",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "BRANDT",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.