St. Luke's Outpatient Imaging – Diagnostic Radiology Physician, NPI 1356418156
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for St. Luke's Outpatient Imaging
4321, Washington Street, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States
STE. 1400
KANSAS CITY, MO 641115961
Phone: (816) 561-5858
Fax: (816) 561-3740
Mailing address matches the actual address.
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.
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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: 2011-03-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110304000406 | O | Independent Diagnostic Testing Facility (Idtf) | MO | TBD |
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.
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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 61,844 | 650 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 40,790 | 147 | $0 |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | 8,346 | 439 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 7,850 | 79 | $0 |
| 71046 | X-ray of chest, 2 views | 1,082 | 837 | $0 |
Insurance plans in this area (ZIP 64111)
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