Active NPI
Timothy O Olatunde, M.D.
- Emergency Medicine Physician
- Kansas City, MO
National Provider Identifier
1972999225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2015026110
- Practice address
- 4410 Wornall Road
Kansas City, MO 64111 - Phone
- (855) 691-9890
- NPI assigned
- Apr 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 2015026110 | MO | Primary |
Addresses
Primary practice location
4410 Wornall Road
Kansas City, MO 64111
Mailing address
4410 Wornall Road
Kansas City, MO 64111
Phone (855) 691-9890
Other practice location 1
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-1559
Other practice location 2
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-1559
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
- Saint Lukes North Hospital
- Saint Luke'S South Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 93.94
- Improvement activities
- 40
- Cost
- 86.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.52 of 100
- Quality
- 90.41
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VA Eastern Kansas Health Care System | Emergency Medicine | Current | Accepting new patients |
| Mep Kansas LLC | Emergency Medicine | Current | Accepting new patients |
Locations
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Overland Park, KS
- NPI 1730491218
-
- Emergency Medicine Physician
- Leavenworth, KS
- NPI 1255432951
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1942241799
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1972999225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 WORNALL ROAD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64111",
"telephone_number": "855-691-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 WORNALL ROAD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64111",
"telephone_number": "855-691-9890"
}
],
"practiceLocations": [
{
"address_1": "3901 Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661608500",
"country_code": "US",
"telephone_number": "913-588-1559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3901 Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661608500",
"country_code": "US",
"telephone_number": "913-588-1559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLATUNDE",
"first_name": "TIMOTHY",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-14",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2015026110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.