Individual provider Active NPI

Peter Winningham, M.D.,

  • Pediatric Radiology Physician
  • Kansas City, MO
National Provider Identifier
1811239296
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
2013020362 Issued in MO
Practice address
2301 Holmes St
Kansas City, MO 64108-2640
Phone
(816) 404-4175
Fax
(816) 404-0003
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 04-45862 KS
Pediatric Radiology Physician 2085P0229X 2013020362 MO Primary

Addresses

Primary practice location

2301 Holmes St
Kansas City, MO 64108-2640

Mailing address

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-4175

Other practice location 1

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20220517000297 KS Practitioner - Diagnostic Radiology 5395046189 Reassigns benefits to 1 organization
I20220609001482 MO Practitioner - Diagnostic Radiology 5395046189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Cardinal Glennon Children'S HospitalGroup PAC ID 7012828163, 35 clinicians

Practice addresses (Care Compare)

1465 S Grand Blvd
SSM Cardinal Glennon Childrens Hos
Saint Louis, MO 63104-1003
Phone (314) 577-5600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Advanced Radiology Consultants of Kansas City, PA Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Saint Francis Medical Center CurrentSince Aug 1, 2023 Accepting new patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Jan 30, 2024 Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Jan 30, 2024 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

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

7246 W 75th St
Overland Park, KS 66204
Phone (913) 222-8370

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

17525 Medical Center Pkwy
Independence, MO 64057
Phone (816) 836-6875

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

1173 Corporate Lake Dr
Saint Louis, MO 63132

13000 Butler Crest Dr
Saint Louis, MO 63128
Phone (314) 842-3535

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1811239296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-4175",
            "fax_number": "816-404-0003"
        },
        {
            "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": "816-404-4175",
            "fax_number": "816-404-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Gillham Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641084619",
            "country_code": "US",
            "telephone_number": "816-234-3000",
            "fax_number": "816-302-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINNINGHAM",
        "first_name": "PETER",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "KS",
            "license": "04-45862",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MO",
            "license": "2013020362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.