DR. ROBERT E TANENBAUM (MD) – Cardiovascular Disease Physician, NPI 1619976883

DR. ROBERT E TANENBAUM (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 108594 (MO). The NPI Number for DR. ROBERT E TANENBAUM (MD) is 1619976883

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT E TANENBAUM (MD)
NPI
1619976883
Phone
(816) 599-9261
Address
901 E 104TH ST
Enumeration Date
19 July 2005
Last Update Date
17 September 2020

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8169311883
Graduation Year
1989 (37 years ago)
PAC ID
8123071610
Group Practice PAC ID
3577476894
Professional Enrollment ID
I20050224000448
Address ID
MO641115939KA4330XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO

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Provider Addresses for DR. ROBERT E TANENBAUM (MD)

  • 901, East 104th Street, Executive Hills East, Kansas City, Jackson County, Missouri, 64131, United States

    MAILSTOP 400S

    KANSAS CITY, MO 64131

    Phone: (816) 599-9261

    Type: Mailing

  • Wornall Road, Dallas, Kansas City, Jackson County, Missouri, 64131, United States

    KANSAS CITY, MO 641115939

    Phone: (816) 931-1883

    Type: Location

  • 9119 W 74th St

    Suite 350

    Shawnee Mission, KS 662042215

    Phone: (913) 789-3290

    Fax: (913) 789-3208

    Type: Location

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: 2005-10-29

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
I20050224000448ICardiovascular Disease (Cardiology)MOTBD
I20051029000341ICardiovascular Disease (Cardiology)KSTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only431380$0
99214Established patient office or other outpatient visit, 30-39 minutes379355$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report331327$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14999$0
99204New patient office or other outpatient visit, 45-59 minutes109108$0
View full utilization report →

Insurance plans in this area (ZIP 64131)

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Provider's Procedures

DR. ROBERT E TANENBAUM (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)KS93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1037923

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: 3577476894View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
Diagnostic RadiologyMO
Nurse PractitionerMO
Internal MedicineMO
Cardiovascular Disease (Cardiology)KS
Family PracticeMO
Hospitalist, Internal MedicineMO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO

Reviews

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Frequently asked questions

What is the standard ID for DR. ROBERT E TANENBAUM (MD) in the U.S.?
In the U.S., DR. ROBERT E TANENBAUM (MD) is identified by NPI 1619976883.
Should I treat DR. ROBERT E TANENBAUM (MD) as an active provider?
Patients and plans typically see DR. ROBERT E TANENBAUM (MD) as active in the national extract.
What services align with DR. ROBERT E TANENBAUM (MD)'s listing?
DR. ROBERT E TANENBAUM (MD)'s public classification highlights Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ROBERT E TANENBAUM (MD)?
DR. ROBERT E TANENBAUM (MD) is associated with Kansas City, Missouri in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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