Active NPI
James W Neely, DO
- Family Medicine Physician
- Cameron, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R4G44
- Practice address
- 1608 E Evergreen St
Suite a
Cameron, MO 64429-2400 - Phone
- (816) 632-3945
- Fax
- (816) 632-3940
- NPI assigned
- Dec 2, 2005
- Last updated
- Dec 2, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R4G44 | MO | Primary |
Addresses
Primary practice location
1608 E Evergreen St
Suite a
Cameron, MO 64429-2400
Mailing address
1600 E Evergreen St
PO Box 557
Cameron, MO 64429-2400
Phone (816) 632-2101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10050637 | Other | MO | MEDICARE RAILROAD |
| 242446870 | Medicaid | MO | |
| 7850046 | Other | MO | MEDICARE PART B |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 58.28 of 100
- Quality
- 38.51
- Improvement activities
- 40
- Cost
- 70.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4G44 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Regional Medical Center Inc | Current | Accepting new patients | |
| Cameron Regional Medical Center, Inc. | Current | Accepting new patients | |
| Cameron Regional Medical Center Inc | Past | Accepting new patients | |
| Golden Age Nursing Home District | Past | Accepting new patients | |
| Hamilton No 1 Inc | Past | Accepting new patients |
Locations
1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101
1608 E Evergreen St
Ste A
Cameron, MO 64429
Phone (816) 632-3945
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Golden Age Nursing Home | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 1, 2008 Feb 1, 2008 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Braymer, MO
- NPI 1043208796
Adp of the SNF, Operational/Managerial Control
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.
-
- General Acute Care Hospital
- Cameron, MO
- NPI 1811905375
-
- Critical Access Hospital
- Salem, MO
- NPI 1639177561
-
dba King City Family Health
- Rural Health Clinic/Center
- King City, MO
- NPI 1861269318
-
dba Walnut Medical Clinic
- Rural Health Clinic/Center
- Cameron, MO
- NPI 1003821307
-
- Skilled Nursing Facility
- Braymer, MO
- NPI 1043208796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1962486951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E EVERGREEN ST",
"address_2": "PO BOX 557",
"city": "CAMERON",
"state": "MO",
"postal_code": "644292400",
"telephone_number": "816-632-2101",
"fax_number": "816-649-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 E EVERGREEN ST",
"address_2": "SUITE A",
"city": "CAMERON",
"state": "MO",
"postal_code": "644292400",
"telephone_number": "816-632-3945",
"fax_number": "816-632-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "JAMES",
"middle_name": "W",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R4G44",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "10050637",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242446870",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "7850046",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cameron, MO
- Jessica R Morrison
- Joshua D Murdock, LAT, ATC
- Murphy Medical, Inc. (Dr. Renee J. Claycamp)
- Murphy Watson Burr Eye Center, Inc.
- Daniel J Neef, O.D.
- Molley Ann Newsome
- Audrey Christine Niemann, MS CCC SLP
- Northwest Vision Center Inc.
- Jaimee Michelle Norton
- Nursing & Rehab at Cameron LLC (Redwood of Cameron)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.