John A Gillen II, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Grandview, MO
NPI 1881696136 · NPPES record last updated Feb 27, 2012
Key facts
- NPI
- 1881696136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 110898 (MO)
- Practice address
- 900 Main St
Grandview, MO 64030-2477 - Phone
- (816) 331-6700
- Fax
- (816) 876-2399
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Missouri, Columbia School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Topeka Physician Group LLC
Select Rehabilitation, LLC
Practice addresses (Care Compare)
100 E Kansas St
Lansing, KS 66043-1610
Phone (913) 758-0283
1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108
2600 Compass Rd
Glenview, IL 60026-8001
600 SW Jewell Ave
Topeka, KS 66606-1607
Phone (785) 295-5310
6001 SW 6TH Ave
Topeka, KS 66615-1004
Hospital & facility affiliations
- Enhabit Home Health
- University of Kansas Health System - St Francis Campus
- Community Hospital, Onaga and St Marys Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 22 |
| Knee replacement | 57 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 23 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 80 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051031000968 | KS | Practitioner - Orthopedic Surgery | 4789653783 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30353 | KS | MD | Orthopaedic Surgery Physician |
| 110898 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topeka Physician Group, LLC | Current |
Accepting new patients | |
| Topeka Physician Group, LLC | Current |
Accepting new patients | |
| Bone&Joint Specialist P.C. | Orthopaedic Surgery | Past | Accepting new patients |
| Mark R. Killman, M.D. P.C. | Past | Accepting new patients |
Locations
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
Interoperability endpoints
- john.gillen@hca2.eclinicaldirectplus.com
- jgillen272638@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 110898 | MO | Yes |
| Orthopaedic Surgery Physician | 207X00000X | 30353 | KS |
Addresses
Primary practice location
900 Main St
Grandview, MO 64030-2477
Mailing address
900 Main St
Grandview, MO 64030-2477
Phone (816) 331-6700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208537613 | Medicaid | MO | |
| 23296023 | Other | MO | BCBS INDIVIDUAL # |
| 607374400 | Other | MO | DEPT OF LABOR |
| 208537621 | Medicaid | KS | |
| 208537639 | Medicaid | MO | |
| 17519026 | Other | MO | BCBS GROUP # |
Other providers in Grandview, MO
- David Joseph Geidl
- Alexandra Jackson Getch
- Zhanna Ghukasyan
- Ashley Gibson
- Ravinder S. Gill
- Derek Charles Gilmore
- Brandi Gipson
- Joanne Alejandra Givhan
- Glide Global Consult LLC
- Grandview Care Center Inc
All providers in Grandview, MO · Orthopaedic Surgery Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.