Kirk D Ridley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD R3B15 Issued in MO

Practice address

17067 S Outer Rd
Suite 100
Belton, MO 64012-2165

Phone

(816) 331-4000

Fax

(816) 331-3626

NPI assigned

Sep 15, 2005

Last updated

Jan 20, 2022By 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 1

Addresses

Other identifiers 3

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Belton Family Practice Clinic LLCGroup PAC ID 5193717601, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ahc Home Health of Kansas City Dba Advanced Home Health Care Home health agency, Overland Park, KS, CCN 178106
• Specialized Home Care Home health agency, Independence, MO, CCN 267653
• Belton Regional Medical Center Hospital, Belton, MO, CCN 260214

Merit-based Incentive Payment System (MIPS)

Final score

90.13 of 100Reported as group

Quality

93.44

Promoting interoperability

100

Improvement activities

40

Cost

73.66

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirk.ridley@hca2.eclinicaldirectplus.com

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.

• Belton Family Practice Clinic LLC

  • Family Medicine Physician
  • Belton, MO
  • NPI 1477500221
  Medicare reassignment Care Compare group NPD
• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Riverside, MO
  • NPI 1568557205
  NPD (past)

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

• Ahc Home Health of Kansas City LLC

  dba Advanced Home & Hospice of Kansas City

  • Home Health Agency
  • Kansas City, MO
  • NPI 1477974178
  Care Compare affiliation
• Core Home Health Agency LLC

  dba Specialized Home Care

  • Home Health Agency
  • Independence, MO
  • NPI 1427478213
  Care Compare affiliation
• Midwest Division - RBH, LLC

  dba Belton Regional Medical Center

  • General Acute Care Hospital
  • Belton, MO
  • NPI 1063470763
  Care Compare affiliation

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1922093954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17067 S OUTER RD",
            "address_2": "SUITE 100",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-331-4000",
            "fax_number": "816-331-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17067 S OUTER RD",
            "address_2": "SUITE 100",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-331-4000",
            "fax_number": "816-331-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "KIRK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD R3B15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922093954",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209096700",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100452510A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KIRK.RIDLEY@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "17067 S Outer Rd",
            "address_2": "SUITE 100",
            "city": "Belton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640122165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Belton, MO
• Providers in Belton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.