Individual provider Active NPI

Rachel L Hailey, MD

  • Family Medicine Physician
  • Lees Summit, MO
National Provider Identifier
1851386932
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 2000152522 Issued in MO
Practice address
270 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone
(816) 524-8488
Fax
(816) 524-8118
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 2000152522 MO Primary

Addresses

Primary practice location

270 NE Tudor Rd
Lees Summit, MO 64086-5696

Mailing address

270 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone (816) 524-8488

Other identifiers 2

IdentifierTypeStateIssuer
100453470BMedicaidKS
209104009MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RACHEL.HAILEY@hca2.eclinicaldirectplus.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000884 MO Practitioner - Family Practice 0547244584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Specialist of Lees Summit LLCGroup PAC ID 1355324625, 8 clinicians

Practice addresses (Care Compare)

2000 SE Blue Pkwy
Suite 270B
Lees Summit, MO 64063-1029
Phone (816) 524-8488

Hospital & facility affiliations

  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 2000152522MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee'S Summit Family Care LLC Family Medicine CurrentSince Oct 2, 2020 Accepting new patients
Family Health Specialist of Lee'S Summit, LLC Family Medicine CurrentSince Mar 1, 2004 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
State Line Medical Group LLC Past Accepting new patients

Locations

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

600 NW Murray Rd
Ste 210
Lees Summit, MO 64081
Phone (816) 524-2626

2000 SE Blue Pkwy
Ste 270B
Lees Summit, MO 64063
Phone (816) 333-5005

270 NE Tudor Rd
Lees Summit, MO 64086
Phone (816) 524-8488

1301 SW Arborwalk Blvd
#A
Lees Summit, MO 64082
Phone (816) 537-6232

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: rachel.hailey@hca2.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1851386932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-524-8488",
            "fax_number": "816-524-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-524-8488",
            "fax_number": "816-524-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEY",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD 2000152522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100453470B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209104009",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RACHEL.HAILEY@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "270 NE Tudor Rd",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640865696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.