Individual provider Active NPI

David Duethman, MD

  • Emergency Medicine Physician
  • Kansas City, MO
National Provider Identifier
1922111418
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2005005831 Issued in MO
Practice address
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone
(816) 932-2047
NPI assigned
Aug 17, 2006
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2005005831 MO Primary

Addresses

Primary practice location

4401 Wornall Rd
Kansas City, MO 64111-3220

Mailing address

PO Box 78009
Saint Louis, MO 63178-8009
Phone (866) 898-7142

Other identifiers 7

IdentifierTypeStateIssuer
200326540BMedicaidKS
207183005MedicaidMO
35366013OtherBCBS
200326540AMedicaidKS
P00252271OtherRAILROAD MEDICARE
200326540CMedicaidKS
200326540DMedicaidKS

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
I20051005000786 MO Practitioner - Emergency Medicine 6406806579 Reassigns benefits to 3 organizations
I20100927000934 KS Practitioner - Emergency Medicine 6406806579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Creighton University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mep Kansas LLCGroup PAC ID 1052437217, 61 clinicians
Metro Emergency Physician LLCGroup PAC ID 2264332022, 55 clinicians

Practice addresses (Care Compare)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
93.94
Improvement activities
40
Cost
86.7

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
90.41
Improvement activities
40
Cost
79.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc CurrentSince May 25, 2019 Accepting new patients
VA Eastern Kansas Health Care System Emergency Medicine CurrentSince Jul 1, 2005 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Mep Kansas LLC Emergency Medicine CurrentSince Sep 1, 2010 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

10544 Parallel Pkwy
Kansas City, KS 66109
Phone (844) 285-1005

7246 W 75th St
Overland Park, KS 66204
Phone (913) 222-8370

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

13200 State Line Rd
Shawnee Mission, KS 66209
Phone (913) 222-8380

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Organizations & group practices 6

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 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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1922111418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78009",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631788009",
            "telephone_number": "866-898-7142",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113220",
            "telephone_number": "816-932-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUETHMAN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2005005831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326540B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207183005",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35366013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326540A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00252271",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326540C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326540D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.