Individual provider Active NPI

Andrew Donaldson, MD

  • Pediatrics Physician
  • Saint Joseph, MO
National Provider Identifier
1730766056
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2024024464 Issued in MO
Practice address
101 Mosaic CT Ste 200
Saint Joseph, MO 64506-0015
Phone
(816) 271-1350
Fax
(816) 271-1355
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2024024464 MO Primary
Pediatric Sports Medicine Physician 2080S0010X 2024024464 MO

Addresses

Primary practice location

101 Mosaic CT Ste 200
Saint Joseph, MO 64506-0015

Mailing address

101 Mosaic CT Ste 200
Saint Joseph, MO 64506-0015
Phone (816) 271-1350

Other identifiers 2

IdentifierTypeStateIssuer
200096295MedicaidMO
30004749280002MedicaidKS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240731002763 MO Practitioner - Pediatric Medicine 6204237795 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024024464MOMDPediatric Sports Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Current Accepting new patients
The Children's Mercy Hospital CurrentSince Jul 24, 2024 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 22, 2025 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 22, 2025 Accepting new patients
The Children's Mercy Hospital Pediatrics CurrentSince Jul 24, 2024 Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

20300 E Valley View Pkwy
Independence, MO 64057
Phone (816) 478-5200

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

501 NW Barry Rd
Kansas City, MO 64155
Phone (816) 413-2500

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

711 N 36th St
Saint Joseph, MO 64506
Phone (816) 271-4022

711 N 36th St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-8120

5514 Corporate Dr
Ste 120
Saint Joseph, MO 64507
Phone (816) 271-1350

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1295

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1730766056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-271-1350",
            "fax_number": "816-271-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-271-1350",
            "fax_number": "816-271-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2024024464",
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "MO",
            "license": "2024024464",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200096295",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004749280002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.