CLARKE LATTA JR. HENRY (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1750389029

CLARKE LATTA JR. HENRY (M.D.) is a healthcare provider. based in Shawnee mission, Kansas. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold the professional credentials M.D.. They hold a License No. R7F67 (MO). The NPI Number for CLARKE LATTA JR. HENRY (M.D.) is 1750389029

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
CLARKE LATTA JR. HENRY (M.D.)
NPI
1750389029
Phone
(913) 341-0120
Address
8901 W 74TH STREET
Enumeration Date
12 July 2005
Last Update Date
25 February 2011

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9136329100
Graduation Year
1978 (48 years ago)
PAC ID
9638226301
Group Practice PAC ID
9537119037
Professional Enrollment ID
I20090415000358
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for CLARKE LATTA JR. HENRY (M.D.)

  • 8901 W 74TH STREET

    SUITE 1

    SHAWNEE MISSION, KS 662042201

    Phone: (913) 341-0120

    Fax: (913) 341-6071

    Type: Mailing

  • 8901 W 74TH ST

    SUITE 1

    SHAWNEE MISSION, KS 662042204

    Phone: (913) 341-0120

    Fax: (913) 344-6071

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-03-08 • Largest payer in this snapshot: ATRICURE, INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$17
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090415000358IThoracic SurgeryKSTBD
I20211112000746IThoracic SurgeryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
33361Replacement of aortic valve through the skin and femoral artery2929$0
33508Harvest of vein using an endoscope1818$0
99205New patient office or other outpatient visit, 60-74 minutes1717$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
33533Coronary artery bypass using artery graft, 1 graft1414$0
View full utilization report →

Insurance plans in this area (ZIP 66204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537119037View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)KS
Family PracticeNC
Nurse PractitionerKS
-KS
Physician AssistantKS
Nurse PractitionerKS
-KS
Internal MedicineKS
Nurse PractitionerKS
Cardiovascular Disease (Cardiology)KS

Reviews

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Frequently asked questions

What NPI should I save for CLARKE LATTA JR. HENRY (M.D.)?
Save NPI 1750389029 if you need a stable reference for CLARKE LATTA JR. HENRY (M.D.).
Is CLARKE LATTA JR. HENRY (M.D.) currently active in the NPI registry?
CMS-published data lists CLARKE LATTA JR. HENRY (M.D.) as an active registrant.
What does CLARKE LATTA JR. HENRY (M.D.) treat or focus on?
Patients typically see CLARKE LATTA JR. HENRY (M.D.) under the specialty Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is CLARKE LATTA JR. HENRY (M.D.)'s primary listing?
We display Shawnee Mission, Kansas because that is what the record indicates for CLARKE LATTA JR. HENRY (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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