Active NPI
Nathan W Lightfoot, DO
- Neurology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2023025240
- Practice address
- 4400 Broadway Blvd Ste 520
Kansas City, MO 64111-3342 - Phone
- (816) 960-7600
- NPI assigned
- Mar 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | DO-0127 | GU | |
| Neurology Physician | 2084N0400X | 0547857 | KS | |
| Neurology Physician | 2084N0400X | 2023025240 | MO | Primary |
Addresses
Primary practice location
4400 Broadway Blvd Ste 520
Kansas City, MO 64111-3342
Mailing address
901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 960-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230808001318 | MO | Practitioner - Neurology | 3173985173 | Reassigns benefits to 1 organization |
| I20230808001981 | KS | Practitioner - Neurology | 3173985173 | Reassigns benefits to 1 organization |
| I20241205003746 | GU | Practitioner - Neurology | 3173985173 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
4400 Broadway
Suite 520
Kansas City, MO 64111-3342
Phone (816) 531-4080
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
- Saint Luke'S East Hospital
- Saint Luke'S South Hospital
- Guam Regional Medical City
- Saint Lukes North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-0127 | GU | MD | Neurology Physician |
| 0547857 | KS | MD | Neurology Physician |
| 2023025240 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Saint Luke'S Physician Group Inc | Neurology | Current | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
4400 Broadway Blvd
Ste 520
Kansas City, MO 64111
Phone (816) 531-4080
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- nlightfoot628329@direct.saint-lukes.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS, MO, Neurology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
Hospital
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
Hospital
-
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
Hospital
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1831695774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MAILSTOP 400S",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64131",
"telephone_number": "816-960-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BROADWAY BLVD STE 520",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113342",
"telephone_number": "816-960-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTFOOT",
"first_name": "NATHAN",
"middle_name": "W",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-31",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GU",
"license": "DO-0127",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "0547857",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2023025240",
"primary": true
}
],
"identifiers": [],
"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 Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.