Active NPI
Joseph B. Reuben, M.D.
- Emergency Medicine Physician
- Overland Park, KS
National Provider Identifier
1962403642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 04-28573
- Practice address
- 12300 Metcalf Ave
Overland Park, KS 66213-1324 - Phone
- (913) 317-7485
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 04-28573 | KS | Primary |
Addresses
Primary practice location
12300 Metcalf Ave
Overland Park, KS 66213-1324
Mailing address
PO Box 411039
Kansas City, MO 64141-1039
Phone (913) 234-1350
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01674018 | Other | BCBS KC MO GROUP 01674018 | |
| 930114375 | Other | RR MEDICARE GROUP CG8899 | |
| P00211286 | Other | RR MEDICARE GROUP DC6712 | |
| 26502051 | Other | MO | BCBS OD KC MO |
| 206039000 | Medicaid | MO | |
| 100358100C | Medicaid | MO | |
| 26502031 | Other | BCBS KCMO | |
| 100358100A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100629000144 | KS | Practitioner - Emergency Medicine | 7911963541 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-28573 | KS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Em Specialists PA | Emergency Medicine | Current | Accepting new patients |
| Saint Luke'S South Hospital Inc. | Past | Accepting new patients | |
| Shawnee Mission Medical Center | Past | Accepting new patients | |
| ER Physicians South PA | Emergency Medicine | Past | Accepting new patients |
Locations
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
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.
-
- Emergency Medicine Physician
- Shawnee Mission, KS
- NPI 1801112743
Emergency Medicine, KS
-
- Renal Nutrition Registered Dietitian
- Overland Park, KS
- NPI 1669606737
-
- Emergency Medical Services (Emergency Medicine) Physician
- Shawnee Mission, KS
- NPI 1598970790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1962403642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411039",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641411039",
"telephone_number": "913-234-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131324",
"telephone_number": "913-317-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REUBEN",
"first_name": "JOSEPH",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "04-28573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC MO GROUP 01674018",
"identifier": "01674018",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP CG8899",
"identifier": "930114375",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP DC6712",
"identifier": "P00211286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OD KC MO",
"identifier": "26502051",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206039000",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100358100C",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KCMO",
"identifier": "26502031",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100358100A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.