Individual provider Active NPI

Chad Aaron McClintick, D.O.

  • Anesthesiology Physician
  • Leawood, KS
National Provider Identifier
1740494046
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0543362 Issued in KS
Practice address
4901 College Blvd
Leawood, KS 66211-1602
Phone
(816) 478-4200
NPI assigned
May 9, 2007
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2011023664 MO
Anesthesiology Physician 207L00000X 0543362 KS Primary

Addresses

Primary practice location

4901 College Blvd
Leawood, KS 66211-1602

Mailing address

5101 College Blvd
Leawood, KS 66211-1614
Phone (816) 478-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111011000651 MO Practitioner - Anesthesiology 1557533791 Reassigns benefits to 2 organizations
I20200814002114 KS Practitioner - Anesthesiology 1557533791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

6815 Frontage Rd
Suite a
Overland Park, KS 66204-1555
Phone (913) 721-3387

706 N Burkarth Rd
Warrensburg, MO 64093-9303
Phone (660) 747-5444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
72.61
Promoting interoperability
100
Improvement activities
30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0543362KSMDAnesthesiology Physician
2011023664MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC CurrentSince Aug 1, 2020 Accepting new patients
St Lukes East Anesthesia Services,P.C. Anesthesiology CurrentSince Sep 1, 2011 Accepting new patients
Metropolitan Pulmonary and Sleep Medicine PC PastSince Dec 9, 2017 Accepting new patients

Locations

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

2300 Hutton Rd
Ste 106107
Kansas City, KS 66109

10310 State Line Rd
Ste A
Leawood, KS 66206
Phone (913) 647-4101

4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200

4061 Indian Creek Pkwy
Ste 350
Overland Park, KS 66207
Phone (816) 524-5522

4820 College Blvd
Ste A
Overland Park, KS 66211

4860 College Blvd
Ste 201
Overland Park, KS 66211

5101 College Blvd
Overland Park, KS 66211

6815 Frontage Rd
Ste A
Overland Park, KS 66204
Phone (913) 348-6725

4801 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-6451

1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

290 NE Tudor Rd
Lees Summit, MO 64086
Phone (816) 524-3280

4880 NE Goodview Cir
Lees Summit, MO 64064
Phone (816) 246-1456

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1740494046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111602",
            "telephone_number": "816-478-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTICK",
        "first_name": "CHAD",
        "middle_name": "AARON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2011023664",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "0543362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.