Active NPI
Garrett Tibbets
- Vascular Surgery Physician
- Kansas City, MO
National Provider Identifier
1851898472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2024021239
- Practice address
- 2750 Clay Edwards Dr Ste 304
Kansas City, MO 64116-3256 - Phone
- (816) 842-5555
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2024021239 | MO | Primary |
Addresses
Primary practice location
2750 Clay Edwards Dr Ste 304
Kansas City, MO 64116-3256
Mailing address
2750 Clay Edwards Dr Ste 304
Kansas City, MO 64116-3256
Phone (816) 842-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
345 W Steamboat Dr
Dakota Dunes, SD 57049-5287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024021239 | MO | MD | Vascular Surgery Physician |
Interoperability endpoints
- garrett.tibbets.1@1811.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1851898472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 CLAY EDWARDS DR STE 304",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641163256",
"telephone_number": "816-842-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 CLAY EDWARDS DR STE 304",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641163256",
"telephone_number": "816-842-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBETS",
"first_name": "GARRETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "2024021239",
"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 Jun 10, 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.