Unknown Individual – Gastroenterology Physician, NPI 1114181302
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
802 N RIVERSIDE RD STE 220
SAINT JOSEPH, MO 645072509
Phone: (816) 271-7074
Fax: (813) 385-8083
Type: Location
4321, Washington Street, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States
STE 5100
KANSAS CITY, MO 641115961
Phone: (913) 491-9100
Type: Location
4321 Washington St
STE 5100
Kansas City, MO 641115961
Phone: (913) 491-9100
Type: Location
901, East 104th Street, Executive Hills East, Kansas City, Jackson County, Missouri, 64131, United States
MAILSTOP 400N
KANSAS CITY, MO 641314517
Phone: (816) 502-8755
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $207.
Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($131).
Total Amount
$207
General + Research + Ownership
Payments
10
Total payment records
General Amount
$207
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $131 |
| Celltrion USA Inc. | $33 |
| Phathom Pharmaceuticals, Inc. | $23 |
| Amgen Inc. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 125 | 125 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 118 | 116 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 116 | 112 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 104 | 104 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 103 | 103 | $0 |
Insurance plans in this area (ZIP 64507)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MO | |
| Diagnostic Radiology | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| Cardiovascular Disease (Cardiology) | KS | |
| Family Practice | MO | |
| Hospitalist, Internal Medicine | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | MO |
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