DR. MATTIAS DINO D'ANNA (DO) – Family Medicine Physician, NPI 1205451655

DR. MATTIAS DINO D'ANNA (DO) is a healthcare provider. based in Lees summit, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 2023010864 (MO). The NPI Number for DR. MATTIAS DINO D'ANNA (DO) is 1205451655

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTIAS DINO D'ANNA (DO)
NPI
1205451655
Phone
(816) 282-5000
Address
2100 SE Blue Pkwy
Enumeration Date
11 June 2020
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
9132229779
Graduation Year
2020 (6 years ago)
PAC ID
6709205222
Group Practice PAC ID
3779861109
Professional Enrollment ID
I20230829000433
Address ID
MO640572301IN19600SXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,190 INTERNAL MEDICINE in MO

Provider Addresses for DR. MATTIAS DINO D'ANNA (DO)

  • 2100 SE Blue Pkwy

    Lees Summit, MO 640631007

    Phone: (816) 282-5000

    Fax: (913) 498-6708

    Type: Location

  • 12140 NALL AVE STE 300

    OVERLAND PARK, KS 662092503

    Phone: (816) 282-5000

    Fax: (913) 498-6708

    Type: Mailing

  • 2100 SE BLUE PKWY

    LEES SUMMIT, MO 640631007

    Phone: (816) 282-5000

    Fax: (913) 498-6708

    Type: Location

  • 19600 E 39TH ST S

    INDEPENDENCE, MO 640572301

    Phone: (913) 222-9779

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20230829000433IInternal MedicineMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6536$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6331$0
99239Hospital discharge day management, more than 30 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 64063)

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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: 3779861109View full group profile
NameSpecialtyState
Family PracticeMO
Internal Medicine, HospitalistMO
Nurse PractitionerMO
Emergency MedicineMO
Nurse PractitionerMO
Family PracticeMO
Family PracticeMO
Family PracticeMO
Internal MedicineMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What NPI should I save for DR. MATTIAS DINO D'ANNA (DO)?
Save NPI 1205451655 if you need a stable reference for DR. MATTIAS DINO D'ANNA (DO).
Is DR. MATTIAS DINO D'ANNA (DO) currently active in the NPI registry?
CMS-published data lists DR. MATTIAS DINO D'ANNA (DO) as an active registrant.
What does DR. MATTIAS DINO D'ANNA (DO) treat or focus on?
Patients typically see DR. MATTIAS DINO D'ANNA (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MATTIAS DINO D'ANNA (DO)?
The page summarizes Lees Summit, Missouri for DR. MATTIAS DINO D'ANNA (DO); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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