Individual provider Active NPI

Morgan Gonder

  • Pain Medicine (Anesthesiology) Physician
  • Lee's Summit, MO
National Provider Identifier
1902390784
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2022047989 Issued in MO
Practice address
2861 NE Independence Ave Ste 201
Lees Summit, MO 64064-2379
Phone
(816) 525-2840
Fax
(816) 525-2841
NPI assigned
Jun 15, 2018
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2022047989 MO Primary

Addresses

Primary practice location

2861 NE Independence Ave Ste 201
Lees Summit, MO 64064-2379

Mailing address

2861 NE Independence Ave Ste 201
Lees Summit, MO 64064-2379
Phone (816) 525-2840

Other practice location 1

4940 W 137th St Ste B
Leawood, KS 66224-3633
Phone (816) 525-2840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230901003535 MO Practitioner - Pain Management 4880942267 Reassigns benefits to 2 organizations
I20231006001125 KS Practitioner - Pain Management 4880942267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Missouri, Kansas City, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians
Advanced Orthopedics and Sports MedicineGroup PAC ID 8820370422, 45 clinicians

Practice addresses (Care Compare)

2101 Charlotte St
Kansas City, MO 64108-2727
Phone (816) 404-2222

2861 NE Independence Ave
Suite 201
Lees Summit, MO 64064-2379
Phone (816) 525-2840

505 S Hospital Dr
Paola, KS 66071-1850
Phone (816) 525-2840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14339GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics and Sports Medicine CurrentSince Sep 1, 2023 Accepting new patients
Advanced Orthopedics and Sports Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

11340 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 354-5020

11340 Nall Ave
Ste 200A
Overland Park, KS 66211
Phone (816) 994-9300

4940 W 137th St
Ste B
Overland Park, KS 66224
Phone (913) 232-9846

505 S Hospital Dr
Paola, KS 66071
Phone (913) 232-9846

2861 NE Independence Ave
Ste 201
Lees Summit, MO 64064
Phone (660) 281-8118

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1902390784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 NE INDEPENDENCE AVE STE 201",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642379",
            "telephone_number": "816-525-2840",
            "fax_number": "816-525-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 NE INDEPENDENCE AVE STE 201",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642379",
            "telephone_number": "816-525-2840",
            "fax_number": "816-525-2841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 W 137th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662243633",
            "country_code": "US",
            "telephone_number": "816-525-2840",
            "fax_number": "816-525-2841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONDER",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2022047989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.