Active NPI
James L Southwell Jr., DO
- Neurology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2010034070
- Practice address
- 1004 Carondelet Dr
Suite 410
Kansas City, MO 64114-4801 - Phone
- (816) 942-4500
- Fax
- (816) 941-4504
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 04-06053 | KS | |
| Neurology Physician | 2084N0400X | O-0465 | ID | |
| Neurology Physician | 2084N0400X | 2010034070 | MO | Primary |
Addresses
Primary practice location
1004 Carondelet Dr
Suite 410
Kansas City, MO 64114-4801
Mailing address
1004 Carondelet Dr
Suite 410
Kansas City, MO 64114-4801
Phone (816) 942-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44833018 | Other | BLUE CROSS BLUE SHIELD OF KC | |
| 1740306273 | Medicaid | MO | |
| 200681570A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368
20375 W 151St St
Olathe, KS 66061-7210
Phone (913) 588-1227
20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227
3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013
4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227
4000 Cambridge St
Kansas City, KS 66160-8500
Hospital & facility affiliations
- University of Kansas Hospital
- University of Kansas Health System Olathe Hospital
- Miami County Medical Center
- Adventhealth Shawnee Mission
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-0465 | ID | MD | Neurology Physician |
| 04-06053 | KS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Neurology | Current | Accepting new patients |
| Kansas University Physicians Inc | Neurology | Current | Accepting new patients |
| Patients First Neurology LLC | Neurology | Past | Accepting new patients |
| Kansas University Physicians Inc | Past | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
20375 W 151st St
Ste 409
Olathe, KS 66061
Phone (913) 829-5656
300 NW Mock Ave
Ste 200
Blue Springs, MO 64014
Phone (816) 220-3100
Interoperability endpoints
- jsouthwell4441@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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
Neurology
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Neurology Physician
- Kansas City, KS
- NPI 1770629602
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1699811521
-
- Neurology Physician
- Idaho Falls, ID
- NPI 1699942383
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paola, KS
- NPI 1700824398
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1740306273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 CARONDELET DR",
"address_2": "SUITE 410",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144801",
"telephone_number": "816-942-4500",
"fax_number": "816-941-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 CARONDELET DR",
"address_2": "SUITE 410",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144801",
"telephone_number": "816-942-4500",
"fax_number": "816-941-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWELL",
"first_name": "JAMES",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "04-06053",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ID",
"license": "O-0465",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2010034070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF KC",
"identifier": "44833018",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740306273",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200681570A",
"state": "KS"
}
],
"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 Jan 20, 2012; 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.