Individual provider Active NPI

Amity Brooke Mahoney, PA-C

  • Surgical Physician Assistant
  • Lees Summit, MO
National Provider Identifier
1831730241
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011
Phone
(816) 246-4302
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011

Mailing address

901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 502-8752

Other practice location 1

600 NE Adams Dairy Pkwy Ste 160
Blue Springs, MO 64014-5496
Phone (816) 246-4302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210003383 MO Practitioner - Physician Assistant 5092148759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Saint Luke'S East Hospital
Lees Summit, MO 64086-6000
Phone (816) 246-4302

120 NE Saint Lukes Blvd
Saint Luke'S Surgicenter
Lees Summit, MO 64086-6000
Phone (816) 246-4302

120 NE Saint Lukes Blvd
Suite 200
Lees Summit, MO 64086-6011
Phone (816) 246-4302

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.72 of 100Reported as group
Quality
51.33
Promoting interoperability
99
Improvement activities
40
Cost
71.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rockhill Orthopaedic Specialists Inc CurrentSince Dec 9, 2019 Accepting new patients
Rockhill Orthopaedic Specialists Inc CurrentSince Dec 9, 2019 Accepting new patients

Locations

600 NE Adams Dairy Pkwy
Ste 160
Blue Springs, MO 64014

701 E 101st Ter
Kansas City, MO 64131
Phone (816) 523-0100

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

8860 NE 82nd Ter
Ste 100
Kansas City, MO 64158
Phone (816) 437-8101

8880 NE 82nd Ter
Ste 110
Kansas City, MO 64158

120 NE Saint Lukes Blvd
Ste 200
Lees Summit, MO 64086
Phone (816) 251-7202

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

Interoperability endpoints

  • Direct secure messaging: asparkman380421@direct.saint-lukes.org

Organizations & group practices 3

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 1

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1831730241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-502-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866011",
            "telephone_number": "816-246-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 NE Adams Dairy Pkwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640145496",
            "country_code": "US",
            "telephone_number": "816-246-4302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "AMITY",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.