Kenneth David Kinnan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2008021981 Issued in MO

Practice address

120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086

Phone

(816) 246-4302

Fax

(816) 246-9493

NPI assigned

Dec 12, 2006

Last updated

Apr 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rockhill Orthopaedic Specialists IncGroup PAC ID 5698935419, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Luke's East Hospital Hospital, Lees Summit, MO, CCN 260216
• St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

Merit-based Incentive Payment System (MIPS)

Final score

76.72 of 100Reported as group

Quality

51.33

Promoting interoperability

99

Improvement activities

40

Cost

71.91

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkinnan14426@direct.saint-lukes.org

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.

• Rockhill Orthopaedic Specialists Inc

  • Orthopaedic Surgery Physician
  • Lee's Summit, MO
  • NPI 1205321569
  Medicare reassignment Care Compare group
• Rockhill Orthopaedic Specialists Inc

  • Orthopaedic Surgery Physician
  • Kansas City, MO
  • NPI 1114753027
  NPD
• Rockhill Orthopaedic Specialists Inc

  • Orthopaedic Surgery Physician
  • Blue Springs, MO
  • NPI 1528553880

  Physician Assistant

  NPD
• Rockhill Orthopaedic Specialists Inc

  • Orthopaedic Surgery Physician
  • Lee's Summit, MO
  • NPI 1235408170
  NPD (past)
• Mid America Neurospine LLC

  • Specialist
  • Overland Park, KS
  • NPI 1962661736
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Lukes East Hospital

  dba Saint Luke's East Lee's Summit Hospital

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1053353490
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  dba Saint Luke's Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  dba Crittenton Children's Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1932642972
  Care Compare affiliation
• St. Luke's Hospital of Kansas City

  dba Saint Luke's Hospital Infusion Center at Liberty

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1275926198
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1891856159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866011",
            "telephone_number": "816-246-4302",
            "fax_number": "816-246-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64086",
            "telephone_number": "816-246-4302",
            "fax_number": "816-246-9493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111910",
            "country_code": "US",
            "telephone_number": "913-319-7600",
            "fax_number": "913-253-1703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 NE Adams Dairy Pkwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640145496",
            "country_code": "US",
            "telephone_number": "816-246-4302",
            "fax_number": "816-246-9493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNAN",
        "first_name": "KENNETH",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00968",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2008021981",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "15-00968",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2008021981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Kincaide, NP-C
• Brooke Kindall, CNM APRN
• Jonathan Lee Kindler
• Alyssa Lynn King
• Jill E King, FNP-C
• Claire Kippenbrock, AUD
• Valicia Kay Kirby, FNP-C
• Emma Kirk
• Julie E Kirkpatrick
• Michael Owen Kirse, D.C.

• Physician Assistant in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.

Verify at the official NPI Registry.