Individual provider Active NPI

John Lawrence Patzkowsky, MD

  • Anesthesiology Physician
  • Overland Park, KS
National Provider Identifier
1750608675
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
04-39196 Issued in KS
Practice address
8717 W 110TH St
Overland Park, KS 66210-2144
Phone
(913) 428-2900
Fax
(913) 428-2951
NPI assigned
May 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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 2016022194 MO
Anesthesiology Physician 207L00000X 04-39196 KS Primary

Addresses

Primary practice location

8717 W 110TH St
Overland Park, KS 66210-2144

Mailing address

8717 W 110TH St
Overland Park, KS 66210-2144
Phone (913) 428-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20160810001359 KS Practitioner - Anesthesiology 1557586807 Reassigns benefits to 1 organization
I20160914000116 MO Practitioner - Anesthesiology 1557586807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians

Practice addresses (Care Compare)

19550 E 39TH St
100 Centerpoint Ambulatory Surgery Center
Independence, MO 64057-1917
Phone (816) 478-2600

5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-39196KSMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Mercy Hospital CurrentSince Sep 6, 2016 Accepting new patients
The Children'S Mercy Hospital CurrentSince Sep 6, 2016 Accepting new patients
Anesthesia Associates of Kansas City PA Anesthesiology CurrentSince Aug 1, 2016 Accepting new patients
The Children'S Mercy Hospital Past Accepting new patients

Locations

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

19550 E 39th St S
Ste 100
Independence, MO 64057
Phone (816) 478-2600

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

Organizations & group practices 4

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.

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1750608675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102144",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102144",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATZKOWSKY",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2016022194",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "04-39196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.