Individual provider Active NPI

Scott Edward Bowlin, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Shawnee, KS
National Provider Identifier
1992780852
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
22870 Issued in KS
Practice address
5440 Clare Rd
Shawnee, KS 66226-2811
Phone
(913) 422-3861
Fax
(913) 322-9126
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 W Truman Rd
Independence, MO 64050-3437
Phone 8162543500430

1515 W White Oak St
Independence, MO 64050-2557
Phone (816) 254-3500

2323 E 63Rd St
Kansas City, MO 64130-3462
Phone (816) 276-4000

Hospital & facility affiliations

  • Ahc Home Health of Kansas City Dba Advanced Home Health Care Home health agency, Overland Park, KS, CCN 178106
  • Elara Caring Home health agency, Jefferson City, MO, CCN 267600
  • One Community Hospice Hospice, Kansas City, MO, CCN 261609
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • Rosewood Rehab and Healthcare Center Nursing home, Independence, MO, CCN 265786

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050117000409 MO Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 8921057993 Receives reassigned benefits from 1 practitioner
Practice locations: Independence, MO; Kansas City, MO

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22870KSMDGeriatric Medicine (Family Medicine) Physician
R5P18MOMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Jackson County Psychiatric Assoc Inc Past Accepting new patients
P & C Consultant Services Past Accepting new patients
Centerpoint Medical Center of Independence, LLC Past Accepting new patients
Rosewood Operator LLC Past Accepting new patients
Research Family Physicians LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X R5P18 MO
Geriatric Medicine (Family Medicine) Physician 207QG0300X 22870 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

5440 Clare Rd
Shawnee, KS 66226-2811

Mailing address

5440 Clare Rd
Shawnee, KS 66226-2811
Phone (913) 422-3861

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
080069169OtherMORAILRD MEDICARE-TRAVELERS
080069169OtherKSRLRD MEDICARE-TRAVELER'S
242097806MedicaidMO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2008.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1992780852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 CLARE RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662262811",
            "telephone_number": "913-422-3861",
            "fax_number": "913-322-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 CLARE RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662262811",
            "telephone_number": "913-422-3861",
            "fax_number": "913-322-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLIN",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R5P18",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "KS",
            "license": "22870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRD MEDICARE-TRAVELERS",
            "identifier": "080069169",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RLRD MEDICARE-TRAVELER'S",
            "identifier": "080069169",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242097806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.