JIM I MERTZ MD NPI 1003871443

Internal Medicine (Nephrology) in Kansas City, MO

About JIM MERTZ

Jim Mertz is a provider in Kansas City, MO with more than 46 years of experience. The NPI number assigned to this provider is 1003871443. The practitioner's primary taxonomy code is Internal Medicine (207RN0300X). The provider is registered as an individual and their NPI record was last updated 5 years ago. Jim Mertz is registered with Medicare and accepts claims assignment.

NPI1003871443 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name JIM I MERTZ MD
Provider Location Address4320 WORNALL RD. STE 208 KANSAS CITY, MO 64111 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4320 WORNALL RD. STE 208 KANSAS CITY, MO 64111 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year1972
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-19-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-12-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

JIM I MERTZ MD
4320 WORNALL RD.
STE 208
KANSAS CITY, MO
ZIP 64111
Phone: (816) 531-0552
Fax: (816) 756-2503
Get Directions

Mailing Address

JIM I MERTZ MD
4320 WORNALL RD.
STE 208
KANSAS CITY, MO
ZIP 64111
Phone: (816) 531-0552
Fax: (816) 756-2503

Primary Taxonomy

Taxonomy Code207RN0300X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.R5657
License StateMO
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C50795MEDICARE UPIN (02)MO
2636125AMEDICARE ID-TYPE UNSPECIFIED (04)MO

Map Location


JIM I MERTZ MD address is 4320 WORNALL RD. STE 208 KANSAS CITY, MO 64111