Sarah Devlin Brunner, MD

Individual provider Active NPI Pediatric Critical Care Medicine Physician · Kansas City, MO

NPI 1992070189 · NPPES record last updated Sep 9, 2019

Key facts

NPI
1992070189
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Critical Care Medicine Physician 2080P0203X
License
2019033216 (MO)
Practice address
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone
(816) 234-3000
Fax
(816) 302-9939
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Childrens Mercy Hospital (143 clinicians)

Practice addresses (Care Compare)

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20191011002624 MO Practitioner - Emergency Medicine 1951632538 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019033216MOMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Mercy Hospital Current
since Oct 2, 2019
Accepting new patients
The Children'S Mercy Hospital Current
since Oct 2, 2019
Accepting new patients
The Children'S Mercy Hospital Past Accepting new patients

Locations

5808 W 110th St
Overland Park, KS 66211
Phone (913) 696-8000

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 2019033216 MO Yes

Addresses

Primary practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Mailing address

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 701-5200

Other practice location 1

5808 W 110th St
Overland Park, KS 66211-2504
Phone (913) 696-8000

Other providers in Kansas City, MO

All providers in Kansas City, MO · Pediatric Critical Care Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.