Kelvin L Walls, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

102064 Issued in MO

Practice address

4880 NW Goodview Circle
Lees Summit, MO 64064

Phone

(816) 478-4200

Fax

(816) 478-0507

NPI assigned

Feb 13, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Otolaryngology

Education

University of Missouri, Kansas City, School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascentist Hospital LLC Hospital, Leawood, KS, CCN 170194
• Saint Luke's East Hospital Hospital, Lees Summit, MO, CCN 260216
• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

Merit-based Incentive Payment System (MIPS)

Final score

81.19 of 100Reported as group

Quality

72.61

Promoting interoperability

100

Improvement activities

30

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/doct-48e85447
• Direct secure messaging: kelvin.walls.1@12752.direct.athenahealth.com
• Direct secure messaging: kwalls@cassregional.direct-ci.com

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.

• Ascentist Physicians Group, LLC

  dba Ascentist Healthcare

  • Otolaryngology Physician
  • Lee's Summit, MO
  • NPI 1649206319

  KS

  Medicare reassignment Care Compare group NPD
• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  Medicare reassignment NPD
• Cass Regional Medical Center

  dba Pleasant Hill Medical Center

  • Rural Health Clinic/Center
  • Pleasant Hill, MO
  • NPI 1538159058
  NPD
• Midwest Ear Nose & Throat Ctr PC

  • Otolaryngology Physician
  • Lee's Summit, MO
  • NPI 1023001450
  NPD (past)
• Doctors Hospital, LLC

  dba Ascentist Hospital

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1871698472
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerpoint Medical Center of Independence, LLC

  dba Centerpoint Medical Center

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• Saint Lukes East Hospital

  dba Saint Luke's East Lee's Summit Hospital

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1053353490
  Care Compare affiliation
• Doctors Hospital, LLC

  dba Ascentist Hospital

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1871698472
  Care Compare affiliation

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972576593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 NE RALPH POWELL RD",
            "address_2": "SUITE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642368",
            "telephone_number": "816-875-2599",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 NW GOODVIEW CIRCLE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-478-4200",
            "fax_number": "816-478-0507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 E Rock Haven Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisonville",
            "state": "MO",
            "postal_code": "647014411",
            "country_code": "US",
            "telephone_number": "816-380-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLS",
        "first_name": "KELVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "102064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18599040",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "18599050",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1008079",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "27731",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4267247",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "204510882",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Roulston Walker, DDS
• Marc A. Walker, LCSW
• Teresa Beth Walker, MD
• Kali Wallace, DC
• Amy Astel Waller, APRN-BC
• Sara Layne Walls, D.D.S
• Patricia Lynn Walsh, RN, ACNS-BC
• Rachel A Walter, NP-C
• Elisa Wu Wang, NP-C
• Jared Andrew Wann, PHARMD

• Otolaryngology Physician in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• 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.

Verify at the official NPI Registry.