Active NPI
Michael Robert Caughron, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Kansas City, MO
National Provider Identifier
1811950777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- R7510
- Practice address
- 9600 Outer Belt Rd
Kansas City, MO 64149-1129 - Phone
- (816) 763-5466
- Fax
- (949) 270-7558
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R7510 | MO | Primary |
Addresses
Primary practice location
9600 Outer Belt Rd
Kansas City, MO 64149-1129
Mailing address
9600 E. 147TH Street
Kansas City, MO 64149-1129
Phone (816) 763-5466
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 708813 | Other | KS | KS BCBS |
| 16002054 | Other | MO | KANSAS CITY BCBS |
| 202969523 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7510 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathologists Professional Association | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Shawnee Mission, KS
- NPI 1912095050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1811950777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 E. 147TH STREET",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641491129",
"telephone_number": "816-763-5466",
"fax_number": "949-270-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 OUTER BELT RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641491129",
"telephone_number": "816-763-5466",
"fax_number": "949-270-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUGHRON",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "R7510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS BCBS",
"identifier": "708813",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS CITY BCBS",
"identifier": "16002054",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202969523",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.