Individual provider Active NPI

Joseph B. Reuben, M.D.

  • Emergency Medicine Physician
  • Overland Park, KS
National Provider Identifier
1962403642
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-28573 Issued in KS
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

Updated by the provider on Jul 14, 2008

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 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

IdentifierTypeStateIssuer
01674018OtherBCBS KC MO GROUP 01674018
930114375OtherRR MEDICARE GROUP CG8899
P00211286OtherRR MEDICARE GROUP DC6712
26502051OtherMOBCBS OD KC MO
206039000MedicaidMO
100358100CMedicaidMO
26502031OtherBCBS KCMO
100358100AMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
04-28573KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Em Specialists PA Emergency Medicine CurrentSince May 1, 2010 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.

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

Verify at the official NPI Registry.