NPIMap

Individual provider Active NPI

Jeffrey Cal Berry, M.D

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1790219210
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020026365 Issued in MO
Practice address
9411 N Oak Trfy Ste 100
Kansas City, MO 64155-2262
Phone
(816) 436-1800
Fax
(816) 436-4241
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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
Family Medicine Physician 207Q00000X 2020026365 MO Primary

Addresses

Primary practice location

9411 N Oak Trfy Ste 100
Kansas City, MO 64155-2262

Mailing address

9411 N Oak Trfy Ste 100
Kansas City, MO 64155-2262
Phone (816) 436-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821000138 MO Practitioner - Family Practice 3173893930 Reassigns benefits to 1 organization

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
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

9411 N Oak Trfy
Suite 100
Kansas City, MO 64155-2262
Phone (816) 436-1800

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Meritas Health Corporation CurrentSince Jul 1, 2022 Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Family Medicine Past Accepting new patients

Locations

9411 N Oak Trfy
Ste 100
Kansas City, MO 64155
Phone (816) 436-1800

9411 N Oak Trfy
Kansas City, MO 64155
Phone (816) 453-4000

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

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.

Hospital & facility affiliations 6

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1790219210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-436-1800",
            "fax_number": "816-436-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-436-1800",
            "fax_number": "816-436-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JEFFREY",
        "middle_name": "CAL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020026365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.