NPIMap

Individual provider Active NPI

Gerald Y Park, MD

  • Urology Physician
  • North Kansas City, MO
National Provider Identifier
1841241387
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2000158331 Issued in MO
Practice address
1950 Diamond Pkwy Ste 200
North Kansas City, MO 64116-4321
Phone
(816) 842-6717
Fax
(816) 842-2574
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0432487 KS
Urology Physician 208800000X 2000158331 MO Primary

Addresses

Primary practice location

1950 Diamond Pkwy Ste 200
North Kansas City, MO 64116-4321

Mailing address

1950 Diamond Pkwy Ste 200
North Kansas City, MO 64116-4321
Phone (816) 842-6717

Other identifiers 2

IdentifierTypeStateIssuer
340018272OtherRAILROAD MEDICARE
27244012OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090219000114 KS Practitioner - Urology 6204892995 Reassigns benefits to 1 organization
I20120820001156 MO Practitioner - Urology 6204892995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985

17525 Medical Ctr Pkwy
Independence, MO 64057-1824
Phone (816) 994-3150

2529 Glenn Hendren Dr
Suite 202
Liberty, MO 64068-9602
Phone (816) 781-8400

2750 Clay Edwards Dr
North Kansas City, MO 64116-3258
Phone (816) 524-1007

2800 Clay Edwards Dr
Kansas City, MO 64116-3220
Phone (816) 691-2000

4321 Washington St
Suite 5300
Kansas City, MO 64111-5931
Phone (816) 531-1234

8551 Bluejacket St
Lenexa, KS 66214-1656

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0432487KSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Urology Care, P.a. Urology CurrentSince Apr 20, 2021 Accepting new patients

Locations

8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985

1950 Diamond Pkwy
Ste 200
North Kansas City, MO 64116
Phone (816) 842-6717

2750 Clay Edwards Dr
Ste 500
North Kansas City, MO 64116
Phone (816) 444-5425

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gpark4749@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1841241387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 DIAMOND PKWY STE 200",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641164321",
            "telephone_number": "816-842-6717",
            "fax_number": "816-842-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DIAMOND PKWY STE 200",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641164321",
            "telephone_number": "816-842-6717",
            "fax_number": "816-842-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "GERALD",
        "middle_name": "Y",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "0432487",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2000158331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340018272",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27244012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.