Individual provider Active NPI

Jonathan R Enriquez, M.D.

  • Cardiovascular Disease Physician
  • Kansas City, MO
National Provider Identifier
1811150758
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2012017786 Issued in MO
Practice address
2301 Holmes St
Kansas City, MO 64108-2640
Phone
(816) 404-1225
Fax
(816) 404-3106
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-120650 IL
Cardiovascular Disease Physician 207RC0000X 2012017786 MO Primary

Addresses

Primary practice location

2301 Holmes St
Kansas City, MO 64108-2640

Mailing address

2310 Holmes St Ste 800
Kansas City, MO 64108-2602

Other practice location 1

20 NE Saint Lukes Blvd Ste 240
Lees Summit, MO 64086-6019
Phone (816) 931-1883

Other practice location 2

20 NE Saint Lukes Blvd Ste 240
Lees Summit, MO 64086-6019
Phone (816) 931-1883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20121024000311 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7618035072 Reassigns benefits to 2 organizations
I20170321001910 KS Practitioner - Cardiovascular Disease (Cardiology) 7618035072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

12330 Metcalf Ave
Overland Park, KS 66213-1302

12330 Metcalf Ave
Overland Park, KS 66213-1324

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5700

20 NE Saint Lukes Blvd
Suite 240
Lees Summit, MO 64086-6019
Phone (816) 931-1883

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

2791 N Washington St
Saint Lukes Medical Group
Chillicothe, MO 64601-2902
Phone (660) 646-2682

2799 N Washington St
Chillicothe, MO 64601-2902
Phone (660) 646-1480

3066 N Kentucky St
Iola, KS 66749-1951
Phone (620) 365-1211

421 S Maple St
Garnett, KS 66032-1334
Phone (785) 204-8000

4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Phone (816) 931-1883

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000

5844 NW Barry Rd
Kansas City, MO 64154-1421

5844 NW Barry Rd
Kansas City, MO 64154-1483

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048

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

State licenses

LicenseStateTypeSpecialty
036-120650ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
University Health Physicians Internal Medicine CurrentSince Sep 4, 2012 Accepting new patients
Saint Lukes Hospital of Garnett Inc Past Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

13800 Metcalf Ave
Overland Park, KS 66223
Phone (800) 989-0525

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

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

2301 Holmes St
Fl 5
Kansas City, MO 64108
Phone (816) 404-4270

4330 Wornall Rd
Ste 2000
Kansas City, MO 64111

2301 Holmes St
Kansas City, MO 64108

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500

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

20 NE Saint Lukes Blvd
Ste 240
Lees Summit, MO 64086

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • Direct secure messaging: jonathan.enriquez@direct.tmcmed.org

Organizations & group practices 3

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1811150758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOLMES ST STE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-1225",
            "fax_number": "816-404-3106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 NE Saint Lukes Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640866019",
            "country_code": "US",
            "telephone_number": "816-931-1883",
            "fax_number": "816-751-8635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 NE Saint Lukes Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640866019",
            "country_code": "US",
            "telephone_number": "816-931-1883",
            "fax_number": "816-751-8635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-120650",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2012017786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.