Active NPI
Derek W Barnard, PA-C
- Surgical Physician Assistant
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 15-0074
- Practice address
- 3651 College Blvd
Leawood, KS 66211-1910 - Phone
- (913) 319-7600
- Fax
- (913) 253-1702
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Leawood, KS
- NPI 1669421509
KS, MO
-
- Durable Medical Equipment & Medical Supplies
- Lenexa, KS
- NPI 1730946302
-
- Durable Medical Equipment & Medical Supplies
- Overland Park, KS
- NPI 1164093589
-
- Durable Medical Equipment & Medical Supplies
- Merriam, KS
- NPI 1205600244
-
- Durable Medical Equipment & Medical Supplies
- Merriam, KS
- NPI 1598498271
-
- Durable Medical Equipment & Medical Supplies
- Leawood, KS
- NPI 1609084540
-
- Durable Medical Equipment & Medical Supplies
- Belton, MO
- NPI 1942871371
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leawood, KS
- NPI 1457364408
Hospital
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dickson Diveley Midwest Orthopaedic Clinic LLC
Practice addresses (Care Compare)
3651 College Blvd
Leawood, KS 66211-1910
Phone (913) 319-7600
4320 Wornall Rd
Suite 610
Kansas City, MO 64111-3235
Phone (913) 319-7600
7450 Kessler St
Suite 140
Merriam, KS 66204-2550
Phone (913) 319-7600
Hospital & facility affiliations
- Kansas City Orthopaedic Institute
- Adventhealth Shawnee Mission
- Saint Luke'S South Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060811000405 | KS | Practitioner - Physician Assistant | 6002819018 | Reassigns benefits to 1 organization |
| I20240624001709 | MO | Practitioner - Physician Assistant | 6002819018 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00745 | KS | MD | Behavioral Analyst |
| 15-0074 | KS | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickson Diveley Midwest Orthopaedic Clinic LLC | Current | Accepting new patients | |
| Dickson Diveley Midwest Orthopaedic Clinic LLC | Current | Accepting new patients |
Locations
3651 W 111th St
Overland Park, KS 66211
Phone (800) 876-5958
10777 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 257-6259
7450 Kessler St
Ste 140
Shawnee Mission, KS 66204
Phone (913) 319-7600
17067 S Outer Rd
Ste 301
Belton, MO 64012
Phone (913) 257-6259
201 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (913) 319-7600
4320 Wornall Rd
Ste 610
Kansas City, MO 64111
Phone (913) 319-7600
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2024022101 | MO | |
| Surgical Physician Assistant | 363AS0400X | 15-0074 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3651 College Blvd
Leawood, KS 66211-1910
Mailing address
3651 College Blvd
Leawood, KS 66211-1910
Phone (913) 319-7600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2024.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1740216522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111910",
"telephone_number": "913-319-7600",
"fax_number": "913-253-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111910",
"telephone_number": "913-319-7600",
"fax_number": "913-253-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNARD",
"first_name": "DEREK",
"middle_name": "W",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MO",
"license": "2024022101",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KS",
"license": "15-0074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.