Individual provider Active NPI

Stephen Kyle Gimple, M.D.

  • Cardiovascular Disease Physician
  • North Kansas City, MO
National Provider Identifier
1801066154
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2009003398 Issued in MO
Practice address
2790 Clay Edwards Dr
Suite 520
North Kansas City, MO 64116-3276
Phone
(816) 221-6750
Fax
(816) 221-2335
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2009003398 MO Primary

Addresses

Primary practice location

2790 Clay Edwards Dr
Suite 520
North Kansas City, MO 64116-3276

Mailing address

2790 Clay Edwards Dr Ste 520
North Kansas City, MO 64116-3274
Phone (816) 221-6750

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
I20090708000072 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5890846646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Vanderbilt University School of Medicine, 2003
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)

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 221-6750

2790 Clay Edwards Dr
North Kansas City, MO 64116-3274

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Phone (816) 691-2021

902 Wollard Blvd
Richmond, MO 64085-2229
Phone (816) 772-2201

904 Wollard Blvd
Richmond, MO 64085-2229
Phone 8164705432281

9411 N Oak Trfy
Suite 260
Kansas City, MO 64155-2281
Phone (816) 221-6750

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Ray County Memorial Hospital Hospital, Richmond, MO, CCN 261327
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • Carroll County Memorial Hospital Hospital, Carrollton, MO, CCN 261332
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009003398MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation CurrentSince Jul 27, 2009 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Cardiovascular Disease CurrentSince Jul 27, 2009 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

4811 S Arrowhead Dr
Independence, MO 64055
Phone (816) 356-5000

9151 NE 81st Ter
Ste 130
Kansas City, MO 64158

5501 NW 62nd Ter
Ste 201
Kansas City, MO 64151
Phone (816) 584-8884

9411 N Oak Trfy
Ste 260
Kansas City, MO 64155
Phone (816) 453-4000

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

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

2790 Clay Edwards Dr
Ste 520
North Kansas City, MO 64116
Phone (816) 551-6750

904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432

Organizations & group practices 6

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 7

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1801066154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 520",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163274",
            "telephone_number": "816-221-6750",
            "fax_number": "816-221-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 520",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-221-6750",
            "fax_number": "816-221-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMPLE",
        "first_name": "STEPHEN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2009003398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.