NPIMap

Individual provider Active NPI

Renato Mendoza Sandoval, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Blue Springs, MO
National Provider Identifier
1932145448
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2009017905 Issued in MO
Practice address
600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone
(816) 347-5200
Fax
(816) 347-5206
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2009017905 MO Primary

Addresses

Primary practice location

600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493

Mailing address

600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone (816) 347-5200

Other identifiers 1

IdentifierTypeStateIssuer
1932145448MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000114 MO Practitioner - Endocrinology 5294764049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

20 NE Saint Lukes Blvd
Suite 300
Lees Summit, MO 64086-6001
Phone (816) 932-2700

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009
  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009017905MOMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2017 Accepting new patients
Providence Care Inc Past Accepting new patients
Cooper Clinic PA Past Accepting new patients
Intensive Diabetes Management Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

20 NE Saint Lukes Blvd
Ste 300
Lees Summit, MO 64086
Phone (816) 531-4080

20 NE Saint Lukes Blvd
Ste 200
Lees Summit, MO 64086
Phone (816) 347-5100

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

Interoperability endpoints

  • Direct secure messaging: rsandoval5188@direct.saint-lukes.org

Organizations & group practices 4

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 7

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1932145448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NE ADAMS DAIRY PKWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640145493",
            "telephone_number": "816-347-5200",
            "fax_number": "816-347-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE ADAMS DAIRY PKWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640145493",
            "telephone_number": "816-347-5200",
            "fax_number": "816-347-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "RENATO",
        "middle_name": "MENDOZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2009017905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932145448",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.