Individual provider Active NPI

Jose Perez Martell, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Kansas City, MO
National Provider Identifier
1821653247
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
2024031505 Issued in MO
Practice address
1000 E 24TH St
Kansas City, MO 64108-2776
Phone
(816) 966-0900
Fax
(816) 416-7098
NPI assigned
May 1, 2019
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 2024031505 MO Primary
Psychiatry Physician 2084P0800X 73418 CT
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 73418 CT

Addresses

Primary practice location

1000 E 24TH St
Kansas City, MO 64108-2776

Mailing address

1555 NE Rice Rd
Lees Summit, MO 64086-5849
Phone (816) 347-3069

Other names 1

  • Dr. JP Martell Professional name

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
I20220401000419 KS Practitioner - Psychiatry 3971838574 Reassigns benefits to 1 organization
I20241004000964 MO Practitioner - Psychiatry 3971838574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RediscoverGroup PAC ID 3375453517, 50 clinicians

Practice addresses (Care Compare)

1000 E 24TH St
Kansas City, MO 64108-2776
Phone (816) 965-1150

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover CurrentSince Aug 5, 2024 Accepting new patients
Rediscover CurrentSince Aug 5, 2024 Accepting new patients
Silver Arrow Psychiatric Care of Kansas - LLC Psychiatry CurrentSince Aug 1, 2025 Accepting new patients
Nyc Psychiatric Associates Psychiatry PastSince Jan 12, 2022 Accepting new patients

Locations

5251 W 116th Pl
Ste 200
Overland Park, KS 66211
Phone (844) 337-3627

1000 E 24th St
Kansas City, MO 64108
Phone (816) 512-7000

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1821653247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-347-3069",
            "fax_number": "816-347-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 24TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082776",
            "telephone_number": "816-966-0900",
            "fax_number": "816-416-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MARTELL",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MO",
            "license": "2024031505",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "73418",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CT",
            "license": "73418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JP",
            "last_name": "MARTELL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.