NPIMap

Individual provider Active NPI

Micah Levine

  • Pulmonary Disease Physician
  • Kansas City, MO
National Provider Identifier
1942734405
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2023011941 Issued in MO
Practice address
5844 NW Barry Rd Ste 270
Kansas City, MO 64154-1466
Phone
(816) 932-6645
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 04-47930 KS
Pulmonary Disease Physician 207RP1001X 2023011941 MO Primary

Addresses

Primary practice location

5844 NW Barry Rd Ste 270
Kansas City, MO 64154-1466

Mailing address

5844 NW Barry Rd Ste 270
Kansas City, MO 64154-1466
Phone (816) 932-6645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230809002561 MO Practitioner - Pulmonary Disease 8224453253 Reassigns benefits to 1 organization
I20230923000430 KS Practitioner - Pulmonary Disease 8224453253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

12330 Metcalf Ave
Suite 420
Overland Park, KS 66213-1307
Phone (913) 323-9000

5844 NW Barry Rd
Suite 270
Kansas City, MO 64154-1466
Phone (816) 880-2600

6600 College Blvd
Suite 310
Overland Park, KS 66211-1522
Phone (913) 647-1000

Hospital & facility affiliations

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
04-47930KSMDPulmonary Disease Physician
2023011941MOMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Jul 31, 2023 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Pulmacare LLC Pulmonary Disease CurrentSince Nov 20, 2024 Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 420
Overland Park, KS 66213
Phone (913) 323-9000

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

6600 College Blvd
Ste 310
Overland Park, KS 66211
Phone (913) 346-5688

4321 Washington St
Ste 6000
Kansas City, MO 64111
Phone (816) 756-2255

901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752

5844 NW Barry Rd
Ste 270
Kansas City, MO 64154
Phone (816) 880-2600

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

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

Interoperability endpoints

  • Direct secure messaging: mlevine626983@direct.saint-lukes.org
  • Direct secure messaging: mlevine83657@direct.luhs.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 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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1942734405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD STE 270",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541466",
            "telephone_number": "816-932-6645",
            "fax_number": "816-880-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD STE 270",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541466",
            "telephone_number": "816-932-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "MICAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "04-47930",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2023011941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.