Frederick Scott Dattel, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

100376 Issued in MO

Practice address

1004 Carondelet Dr
Suite 330
Kansas City, MO 64114-4802

Phone

(816) 941-6400

Fax

(816) 941-6404

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5617/brand/1/csg/1/fhir/r4

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.

• Kansas City Pediatrics, LLC

  • Pediatric Adolescent Medicine Physician
  • Kansas City, MO
  • NPI 1619078912
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912008525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144802",
            "telephone_number": "816-941-6400",
            "fax_number": "816-941-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144802",
            "telephone_number": "816-941-6400",
            "fax_number": "816-941-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTEL",
        "first_name": "FREDERICK",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MO",
            "license": "100376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100281970C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208124610",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monisha Das Ireland, M.D
• Saswat Das, DO
• Stacy Leila Dashiell, M.D.
• Jennifer Lynn Dasilva, M.A.
• Majed J Dasouki, MD
• Tiffany Dattel
• Firdaus Daud
• Kathryn Colleen Daugherty
• Nathaniel Daugherty, PHARMD
• Philip Dauma, MD

• Pediatric Adolescent Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatric Adolescent Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.