Active NPI
Amanda G Wait, D.O.
- Obstetrics & Gynecology Physician
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2011016772
- Practice address
- 2737 NE McBaine Dr
Lees Summit, MO 64064-7880 - Phone
- (816) 251-5780
- Fax
- (816) 251-5781
- NPI assigned
- Apr 20, 2007
- Last updated
- Feb 27, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS10917 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 2011016772 | MO | Primary |
Addresses
Primary practice location
2737 NE McBaine Dr
Lees Summit, MO 64064-7880
Mailing address
901 E. 104TH St
Mailstop 400N
Kansas City, MO 64131-9712
Phone (816) 502-7104
Other practice location 1
415A Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 429-2228
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46070012 | Other | MO | BCBS OF KC |
| 746460 | Other | MO | MISSOURI CARE |
| 0904564 | Other | MO | CIGNA |
| 598858 | Other | MO | COVENTRY HEALTHCARE OF KANSAS |
| 1881811602 | Medicaid | MO |
Other names 1
- Amanda G Ridden
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Kansas City University of Physicians and Surgeons, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2737 NE McBaine Dr
Saint Luke's Women's Health East
Lees Summit, MO 64064-7880
Phone (816) 251-5780
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011016772 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke's Physician Group Inc | Current | Accepting new patients | |
| Saint Lukes East Hospital | Past | Accepting new patients |
Locations
901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756
2737 NE McBaine Dr
Lees Summit, MO 64064
Phone (816) 251-5780
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- await104594@direct.saint-lukes.org
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
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.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1881811602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E. 104TH ST",
"address_2": "MAILSTOP 400N",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641319712",
"telephone_number": "816-502-7104",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 NE MCBAINE DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640647880",
"telephone_number": "816-251-5780",
"fax_number": "816-251-5781"
}
],
"practiceLocations": [
{
"address_1": "415A Burkarth Rd",
"address_purpose": "LOCATION",
"city": "Warrensburg",
"state": "MO",
"postal_code": "640933101",
"country_code": "US",
"telephone_number": "660-429-2228",
"fax_number": "660-262-7418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAIT",
"first_name": "AMANDA",
"middle_name": "G",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS10917",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2011016772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC",
"identifier": "46070012",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI CARE",
"identifier": "746460",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0904564",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTHCARE OF KANSAS",
"identifier": "598858",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881811602",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "RIDDEN",
"middle_name": "G",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lee's Summit, MO
- Mary Wachai, CNP
- Lloyd Denton Waggener, M.S.
- Penny Waggener, RPT
- Austin J Wagner, D.O.
- Karen Schiess Wagner, PH D
- Wal-Mart Stores East LP (Walmart Pharmacy 10-4590)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0573)
- Wal-Mart Stores East, LP (Walmart Vision Center 30-4590)
- Wal-Mart Stores East, LP (Vision Center 30-0573)
- Amy Diane Wald, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.