Individual provider Active NPI

Rory Lewis Tompkins, M.D.

  • Pediatrics Physician
  • Excelsior Springs, MO
National Provider Identifier
1972573723
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R6H00 Issued in MO
Practice address
1006 N Jesse James Rd
Suite 2
Excelsior Springs, MO 64024-1202
Phone
(816) 637-0117
Fax
(816) 637-0814
NPI assigned
Jan 25, 2006
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R6H00 MO Primary

Addresses

Primary practice location

1006 N Jesse James Rd
Suite 2
Excelsior Springs, MO 64024-1202

Mailing address

1006 N Jesse James Rd
Suite 2
Excelsior Springs, MO 64024-1202
Phone (816) 637-0117

Other identifiers 3

IdentifierTypeStateIssuer
202518809MedicaidMO
319400OtherMOFAMILY HEALTH PARTNERS
14235011OtherMOBCBS INDIVIDUAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929000984 MO Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1355659194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R6H00MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Care Pediatrics, LLC Pediatrics Past Accepting new patients
Excelsior Springs Pediatric Clinic Pediatrics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1972573723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N JESSE JAMES RD",
            "address_2": "SUITE 2",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241202",
            "telephone_number": "816-637-0117",
            "fax_number": "816-637-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N JESSE JAMES RD",
            "address_2": "SUITE 2",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241202",
            "telephone_number": "816-637-0117",
            "fax_number": "816-637-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "RORY",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R6H00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202518809",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "319400",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "14235011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior Springs, MO

Sources for this page

Verify at the official NPI Registry.