NPIMap

Individual provider Active NPI

Crystal D Lagalle, D.O.

  • Internal Medicine Physician
  • North Kansas City, MO
National Provider Identifier
1891010666
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2014011936 Issued in MO
Practice address
2700 Clay Edwards Dr
Ste 400
North Kansas City, MO 64116
Phone
(816) 421-4240
Fax
(816) 421-5015
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014011936 MO Primary
General Practice Physician 208D00000X 0 OK

Addresses

Primary practice location

2700 Clay Edwards Dr
Ste 400
North Kansas City, MO 64116

Mailing address

2700 Clay Edwards Dr.
Ste 400
North Kansas City, MO 64116
Phone (816) 421-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141023000286 MO Practitioner - Internal Medicine 2466673009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Ability KCGroup PAC ID 0143116368, 166 clinicians

Practice addresses (Care Compare)

2700 Clay Edwards Dr
Suite 400
North Kansas City, MO 64116-3270
Phone (816) 421-4240

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

9411 N Oak Trfy
Suite 260
Kansas City, MO 64155-2281
Phone (816) 221-6750

Hospital & facility affiliations

  • Amedisys Home Health of Missouri Home health agency, Lees Summit, MO, CCN 267623
  • Phoenix Home Care Home health agency, Independence, MO, CCN 267650
  • North Kansas City Hospital Home Health Services Home health agency, North Kansas City, MO, CCN 267462
  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014011936MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Internal Medicine CurrentSince Sep 14, 2014 Accepting new patients
Meritas Health Corporation CurrentSince Sep 14, 2014 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

9411 N Oak Trfy
Ste 260
Kansas City, MO 64155
Phone (816) 453-4000

2700 Clay Edwards Dr
Ste 400
North Kansas City, MO 64116
Phone (816) 421-4240

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

Organizations & group practices 6

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 12

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1891010666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR.",
            "address_2": "STE 400",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "64116",
            "telephone_number": "816-421-4240",
            "fax_number": "816-421-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR",
            "address_2": "STE 400",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "64116",
            "telephone_number": "816-421-4240",
            "fax_number": "816-421-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGALLE",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014011936",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.