Individual provider Active NPI

Dak R Burnett, MD

  • Cardiovascular Disease Physician
  • Liberty, MO
National Provider Identifier
1922020395
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R2F31 Issued in MO
Practice address
1530 N Church Rd
Liberty, MO 64068-7129
Phone
(816) 781-1696
Fax
(913) 945-9611
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R2F31 MO Primary
Cardiovascular Disease Physician 207RC0000X 04-19205 KS

Addresses

Primary practice location

1530 N Church Rd
Liberty, MO 64068-7129

Mailing address

5501 NW 62ND Ter
Suite 201
Kansas City, MO 64151-2408
Phone (816) 584-8884

Other identifiers 5

IdentifierTypeStateIssuer
100172590BMedicaidKS
051557OtherKSBCBS KS
100172590AMedicaidKS
11691012OtherBCBS KC
202186110MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20050705000965 KS Practitioner - Cardiovascular Disease (Cardiology) 4082650668 Reassigns benefits to 2 organizations
I20070327000631 MO Practitioner - Cardiovascular Disease (Cardiology) 4082650668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Kansas School of Med (KC/Wich/Sal), 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-America Cardiology Associates IncGroup PAC ID 7012801103, 110 clinicians
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-5000

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-19205KSMDCardiovascular Disease Physician
R2F31MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Mid-America Cardiology Associates, Inc. Cardiovascular Disease CurrentSince Apr 1, 2003 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients

Locations

820 Ravenhill Dr
Ste 160A
Atchison, KS 66002
Phone (913) 367-6227

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

3901 Rainbow Blvd
Ste G600
Kansas City, KS 66160
Phone (913) 588-9600

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111

10787 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 588-9400

5501 NW 62nd Ter
Ste 201
Kansas City, MO 64151
Phone (816) 584-8884

1530 N Church Rd
Liberty, MO 64068
Phone (816) 415-1900

3943 Sherman Ave
Saint Joseph, MO 64506
Phone (816) 279-6666

Interoperability endpoints

  • Direct secure messaging: dburnett2788@direct.kuha.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1922020395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 NW 62ND TER",
            "address_2": "SUITE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512408",
            "telephone_number": "816-584-8884",
            "fax_number": "913-945-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N CHURCH RD",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687129",
            "telephone_number": "816-781-1696",
            "fax_number": "913-945-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "DAK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R2F31",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-19205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100172590B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "051557",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100172590A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "11691012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202186110",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.