Active NPI
Robert Keith Twillman, PHD
- Psychologist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2019030582
- Practice address
- 4225 Baltimore Ave
Kansas City, MO 64111-2304 - Phone
- (816) 932-1711
- Fax
- (816) 932-1719
- NPI assigned
- May 24, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP-789 | KS | |
| Psychologist | 103T00000X | 2019030582 | MO | Primary |
Addresses
Primary practice location
4225 Baltimore Ave
Kansas City, MO 64111-2304
Mailing address
13124 W 83Rd Ter
Lenexa, KS 66215-2824
Phone (913) 205-3746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
4225 Baltimore Ave
Kansas City, MO 64111-2304
Phone (816) 932-1711
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP-789 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
4225 Baltimore Ave
Kansas City, MO 64111
Phone (816) 753-4225
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- rtwillman374944@direct.saint-lukes.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1740847755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13124 W 83RD TER",
"city": "LENEXA",
"state": "KS",
"postal_code": "662152824",
"telephone_number": "913-205-3746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 BALTIMORE AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112304",
"telephone_number": "816-932-1711",
"fax_number": "816-932-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWILLMAN",
"first_name": "ROBERT",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-24",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "LP-789",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2019030582",
"primary": true
}
],
"identifiers": [],
"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 Aug 9, 2019; 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.