Individual provider Active NPI

Adam M Fleddermann, MD

  • Cardiovascular Disease Physician
  • Kansas City, MO
National Provider Identifier
1801235080
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2015022066 Issued in MO
Practice address
4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939
Phone
(816) 931-1883
NPI assigned
Jun 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 2015022066 MO Primary

Addresses

Primary practice location

4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131-4517
Phone (816) 931-1883

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MN, CA, IA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190722003152 MO Practitioner - Cardiovascular Disease (Cardiology) 4385873082 Reassigns benefits to 2 organizations
I20240919002805 MN Practitioner - Cardiovascular Disease (Cardiology) 4385873082 Reassigns benefits to 1 organization
I20250305001937 CA Practitioner - Internal Medicine 4385873082 Reassigns benefits to 1 organization
I20251226002217 IA Practitioner - Cardiovascular Disease (Cardiology) 4385873082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Missouri, Kansas City, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6435

1206 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6465

1215 Pleasant St
Suite 414
Des Moines, IA 50309-1408
Phone (515) 241-5700

1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1200

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-4897

410 NW Ash Dr
Ankeny, IA 50023-1552
Phone (515) 964-1101

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

700 E Uinversity Ave
Des Moines, IA 50316-2302

Hospital & facility affiliations

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Hospital of Trenton Current Accepting new patients
Saint Luke'S Hospital of Trenton Cardiovascular Disease CurrentSince Aug 5, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 3, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
North Memorial Health Care CurrentSince Sep 1, 2024 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Aug 5, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 3, 2025 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Aug 5, 2019 Accepting new patients
Saint Lukes Hospital of Chillicothe Cardiovascular Disease CurrentSince Aug 5, 2019 Accepting new patients
North Memorial Health Care Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Feb 16, 2026 Accepting new patients
North Memorial Health Care CurrentSince Sep 1, 2024 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Feb 16, 2026 Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

3300 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 520-2000

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1801235080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-931-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD STE 2000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115939",
            "telephone_number": "816-931-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEDDERMANN",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-05-27",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2015022066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.