Jeffrey Whitacre, M.D.
Individual provider Active NPI Emergency Medicine Physician · Kansas City, KS
NPI 1821451501 · NPPES record last updated Mar 6, 2019
Key facts
- NPI
- 1821451501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 04-41370 (KS)
- Practice address
- 3901 Rainbow Blvd
Mail Stop 1045
Kansas City, KS 66160-8500 - Phone
- (913) 588-5000
- NPI assigned
- Mar 31, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lawrence Emergency Medicine Associates,PA
Emergency Medicine Services of KS PA
Practice addresses (Care Compare)
325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-5000
5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000
Hospital & facility affiliations
- Menorah Medical Center
- LMH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181101000232 | KS | Practitioner - Emergency Medicine | 3870888712 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-41370 | KS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kansas Hospital Authority | Current |
Accepting new patients | |
| Emergency Medicine Services of KS, PA | Emergency Medicine | Current |
Accepting new patients |
| University of Kansas Hospital Authority | Current |
Accepting new patients | |
| Sound Physicians Emergency Medicine of Kansas, LLC | Emergency Medicine | Current |
Accepting new patients |
| Lawrence Emergency Medicine Associates,PA | Emergency Medicine | Current |
Accepting new patients |
| Dispatchhealth-Kansas PA | Emergency Medicine | Past | Accepting new patients |
Locations
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
3901 Rainbow Blvd
Stop 1045
Kansas City, KS 66160
Phone (309) 645-2757
325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- jwhitacre201256@ahs.direct-ci.com
- jeffrey.whitacre.1@13869.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 04-41370 | KS | Yes |
Addresses
Primary practice location
3901 Rainbow Blvd
Mail Stop 1045
Kansas City, KS 66160-8500
Mailing address
3901 Rainbow Blvd
Mail Stop 1045
Kansas City, KS 66160-8500
Phone (913) 588-5000
Other providers in Kansas City, KS
- Wexler Family Psychiatry
- Micaela Patricia Wexler
- Joy A Weydert
- Lauren Wheeler
- Bristol Brandt Whiles
- Jenna Whitbeck
- Katherine Whitcomb
- Audrey Jane Arns White
- Jacquelyn White
- Judy L White
All providers in Kansas City, KS · Emergency Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.