Individual provider Active NPI

Kenneth Steven Braton, DO

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1740273465
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9426 Issued in MO
Practice address
1000 E 101St Ter
Kansas City, MO 64131-3366
Phone
(913) 945-9660
Fax
(913) 945-9659
NPI assigned
Aug 28, 2005
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9426 MO Primary

Addresses

Primary practice location

1000 E 101St Ter
Kansas City, MO 64131-3366

Mailing address

2330 Shawnee Mission Pkwy
Medical Administrative Services of Ku Med, Ste. 312
Westwood, KS 66205-2005
Phone (913) 945-5614

Other identifiers 6

IdentifierTypeStateIssuer
22039026OtherBCBS PHF AFTER HOURS UC
481159444OtherJHPC TAX ID
4001323OtherAETNA
P00324156OtherRR MEDICARE#
18960020OtherCFU BCBS
37157012OtherBCBS HIGHLAND MEDICAL

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
I20060825000445 MO Practitioner - Family Practice 2466456876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jayhawk Primary Care IncGroup PAC ID 8123928900, 157 clinicians

Practice addresses (Care Compare)

1000 E 101St Ter
Kansas City, MO 64131-3366
Phone (816) 761-0884

12121 Blue Ridge Ext
Suite M
Grandview, MO 64030-1193
Phone (816) 761-0684

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Primary Care Inc Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
Jayhawk Primary Care Inc Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients

Locations

12121 Blue Ridge Ext
Ste M
Grandview, MO 64030
Phone (816) 761-0684

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

Interoperability endpoints

  • Direct secure messaging: kbraton143476@direct.kuha.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1125187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1740273465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SHAWNEE MISSION PKWY",
            "address_2": "MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662052005",
            "telephone_number": "913-945-5614",
            "fax_number": "913-945-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 101ST TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313366",
            "telephone_number": "913-945-9660",
            "fax_number": "913-945-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATON",
        "first_name": "KENNETH",
        "middle_name": "STEVEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-28",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHF AFTER HOURS UC",
            "identifier": "22039026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHPC TAX ID",
            "identifier": "481159444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4001323",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE#",
            "identifier": "P00324156",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CFU BCBS",
            "identifier": "18960020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HIGHLAND MEDICAL",
            "identifier": "37157012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.