Active NPI
Martin Rhodes, MD
- Internal Medicine Physician
- Kansas City, KS
National Provider Identifier
1972519858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0415198
- Practice address
- 632 Kansas Avenue
Kansas City, KS 66105 - Phone
- (913) 371-1017
- Fax
- (913) 371-8326
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0415198 | KS | Primary |
Addresses
Primary practice location
632 Kansas Avenue
Kansas City, KS 66105
Mailing address
6000-M Leavenworth Rd
Kansas City, KS 66104
Phone (913) 299-0089
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420982 | Other | KS | BCBS OF KANSAS |
| 03339081 | Other | MO | BCBS OF KC |
| 1000939980B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0415198 | KS | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1972519858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000-M LEAVENWORTH RD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66104",
"telephone_number": "913-299-0089",
"fax_number": "913-299-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 KANSAS AVENUE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66105",
"telephone_number": "913-371-1017",
"fax_number": "913-371-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "MARTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "0415198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS",
"identifier": "420982",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC",
"identifier": "03339081",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000939980B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.