Active NPI
Douglas A. Salerno, CRNA
- Certified Registered Nurse Anesthetist
- Shawnee Mission, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 55041
- Practice address
- 9100 W 74TH St
Shawnee Mission, KS 66204-4004 - Phone
- (913) 676-2679
- Fax
- (913) 789-3191
- NPI assigned
- Dec 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 55041 | KS | Primary |
| Registered Nurse | 163W00000X | 81253 | KS |
Addresses
Primary practice location
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Mailing address
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2679
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100456090C | Medicaid | KS | |
| P00708218 | Other | KS | RR MEDICARE |
| 100456090B | Medicaid | KS | |
| 919298000 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81253 | KS | MD | Registered Nurse |
| 55041 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| Kansas Pain Management | Past | Accepting new patients | |
| Midwest Anesthesia Associates, PA | Registered Nurse | Past | Accepting new patients |
Locations
8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
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.
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
-
- Pain Medicine (Anesthesiology) Physician
- Overland Park, KS
- NPI 1104929546
-
- Anesthesiology Physician
- Shawnee Mission, KS
- NPI 1336192392
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1871579433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 W 74TH ST",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662044004",
"telephone_number": "913-676-2679",
"fax_number": "913-789-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 W 74TH ST",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662044004",
"telephone_number": "913-676-2679",
"fax_number": "913-789-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALERNO",
"first_name": "DOUGLAS",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "55041",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "81253",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100456090C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00708218",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100456090B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "919298000",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.