Individual provider Active NPI

James Edward Johnson, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Kansas City, MO
National Provider Identifier
1831126713
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2009024535 Issued in MO
Practice address
1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone
(816) 943-3926
Fax
(816) 943-3170
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2009024535 MO Primary

Addresses

Primary practice location

1000 Carondelet Dr
Kansas City, MO 64114-4673

Mailing address

PO Box 414796
Kansas City, MO 64141-4796
Phone (913) 647-4100

Other practice location 1

5721 W 119th St
Overland Park, KS 66209-3722
Phone (913) 498-6000

Other practice location 2

2861 NE Independence Ave Ste 101
Lees Summit, MO 64064-2379
Phone (816) 579-1500

Other practice location 3

2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Phone (816) 380-3474

Other identifiers 3

IdentifierTypeStateIssuer
209476209MedicaidMO
42949011OtherMOBCBS KC
P00750602OtherMORAILROAD

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
I20090904000099 MO Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 0547315095 Reassigns benefits to 2 organizations
I20090918000026 KS Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 0547315095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJ Pain Associates, IncGroup PAC ID 9830288596, 3 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-3926

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Regional Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Cass Regional Medical Center CurrentSince Nov 1, 2021 Accepting new patients
SJ Pain Associates, Inc Pain Medicine CurrentSince Aug 20, 2009 Accepting new patients
Harrisonville Family Medicine, Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

10310 State Line Rd
Ste A
Leawood, KS 66206
Phone (913) 647-4101

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2861 NE Independence Ave
Ste 101
Lees Summit, MO 64064
Phone (816) 579-1500

Interoperability endpoints

  • Direct secure messaging: james.johnson@cassregional.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14773/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 4

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1831126713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414796",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641414796",
            "telephone_number": "913-647-4100",
            "fax_number": "913-647-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "816-943-3926",
            "fax_number": "816-943-3170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093722",
            "country_code": "US",
            "telephone_number": "913-498-6000",
            "fax_number": "913-498-6648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2861 NE Independence Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640642379",
            "country_code": "US",
            "telephone_number": "816-579-1500",
            "fax_number": "816-579-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E Rock Haven Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisonville",
            "state": "MO",
            "postal_code": "647014411",
            "country_code": "US",
            "telephone_number": "816-380-3474",
            "fax_number": "816-380-4639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2009024535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209476209",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "42949011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00750602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.