Active NPI
Kevin Watson, PA-C
- Physician Assistant
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2020008278
- Practice address
- 4320 Wornall Rd Ste 710
Kansas City, MO 64111-3246 - Phone
- (816) 932-2700
- Fax
- (816) 932-2705
- NPI assigned
- Aug 31, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-02340 | KS | |
| Physician Assistant | 363A00000X | 083606 | IA | |
| Physician Assistant | 363A00000X | 2020008278 | MO | Primary |
Addresses
Primary practice location
4320 Wornall Rd Ste 710
Kansas City, MO 64111-3246
Mailing address
901 E 104TH St # Ms 400
Kansas City, MO 64131-4517
Phone (816) 932-6433
Other practice location 1
1111 6th Avenue
East Tower, Suite B1
Des Moines, IA 50314-2610
Phone (515) 358-0100
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: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4320 Wornall Rd
Suite 710
Kansas City, MO 64111-3246
Phone (816) 932-2700
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700
601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
- Saint Luke'S East Hospital
- Saint Luke'S South Hospital
- Saint Lukes North Hospital
Merit-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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-02340 | KS | MD | Physician Assistant |
| 2020008278 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current | Accepting new patients | |
| Saint Lukes Physician Group Inc | Physician Assistant | Current | Accepting new patients |
| Boone County Hospital | Past | Accepting new patients |
Locations
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
4320 Wornall Rd
Ste 710
Kansas City, MO 64111
Phone (816) 531-5570
20 NE Saint Lukes Blvd
Ste 300
Lees Summit, MO 64086
Phone (816) 531-4080
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- kwatson389308@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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1427664283
Physician Assistant
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1942241799
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1053353490
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1730635574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST # MS 400",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517",
"telephone_number": "816-932-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 WORNALL RD STE 710",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113246",
"telephone_number": "816-932-2700",
"fax_number": "816-932-2705"
}
],
"practiceLocations": [
{
"address_1": "1111 6th Avenue",
"address_2": "East Tower, Suite B1",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503142610",
"country_code": "US",
"telephone_number": "515-358-0100",
"fax_number": "515-358-0109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "KEVIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-02340",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "083606",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2020008278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 24, 2024; 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.