Individual provider Active NPI

Christopher Lee Koehn, D.O.

  • Family Medicine Physician
  • Blue Springs, MO
National Provider Identifier
1750816369
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020021222 Issued in MO
Practice address
600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone
(816) 251-6100
Fax
(816) 347-4695
NPI assigned
Apr 21, 2017
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 2020021222 MO Primary

Addresses

Primary practice location

600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493

Mailing address

600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone (816) 251-6100

Other practice location 1

1200 W 22nd St
Higginsville, MO 64037-1420
Phone (660) 584-7751

Other practice location 2

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-4862

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
I20200824002654 MO Practitioner - Family Practice 4486071024 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-6204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
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 Osteopathy

State licenses

LicenseStateTypeSpecialty
2020021222MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center CurrentSince Aug 1, 2020 Accepting new patients
Western Missouri Medical Center CurrentSince Aug 1, 2020 Accepting new patients
Western Missouri Medical Center Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
University Health Physicians Family Medicine CurrentSince Nov 5, 2024 Accepting new patients

Locations

1200 W 22nd St
Higginsville, MO 64037
Phone (660) 262-7751

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

513 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 747-7751

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Phoenix Home Care and HospiceIndependence, MO, CCN 261670 Hospice W-2 Managing Employee
Operational/Managerial Control
Jan 1, 2021
Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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

Hospital & facility affiliations 2

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1750816369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NE ADAMS DAIRY PKWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640145493",
            "telephone_number": "816-251-6100",
            "fax_number": "816-347-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE ADAMS DAIRY PKWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640145493",
            "telephone_number": "816-251-6100",
            "fax_number": "816-347-4695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Higginsville",
            "state": "MO",
            "postal_code": "640371420",
            "country_code": "US",
            "telephone_number": "660-584-7751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7900 Lees Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641391236",
            "country_code": "US",
            "telephone_number": "816-404-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020021222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.