NEIL JOSEPH MARDIS D.O.
NPI 1104949304
Radiology - Pediatric Radiology in Kansas City, MO
About Neil Joseph Mardis D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEIL JOSEPH MARDIS D.O. (NPI 1104949304) is an individual pediatric radiology provider in Kansas City, Missouri, licensed in Missouri (2008013757) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Neil Joseph Mardis D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Neil Mardis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63139
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 414 clinicians in this Medicare group
Farmington, MO 63640
- Reassigned Medicare billing, Missouri enrollment
- 595 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Neil Mardis's NPI number?
The NPI number for Neil Mardis is 1104949304. It was assigned to this individual provider in the NPPES registry on April 10, 2007.
Where is Neil Mardis located?
Neil Mardis practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3000.
What is Neil Mardis's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.
Is Neil Mardis enrolled in Medicare?
Yes. Neil Mardis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Neil Mardis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Neil Mardis reassigns Medicare benefits to 2 organizations: Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO) and Saint Francis Medical Center (Farmington, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Neil Mardis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Neil Mardis accept?
Health plans from Blue Cross and Blue Shield of Kansas City list Neil Mardis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Neil Mardis was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Neil Joseph Mardis, D.O. · NPI 1104949304
Pediatric Radiology physician in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since April 10, 2007.
## Identity
- **NPI:** 1104949304 (Entity type: Individual)
- **Enumerated:** April 10, 2007
- **Primary specialty:** Radiology - Pediatric Radiology · taxonomy 2085P0229X
- **State license:** 2008013757 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2401 GILLHAM RD, Kansas City, MO 64108-4619
- **Phone:** (816) 234-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Cardinal Glennon Childrens Hospital (NPI 1073568226, Saint Louis, MO); Saint Francis Medical Center (NPI 1013585561, Farmington, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2002
## Record status
- **NPPES last updated:** June 20, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1104949304) · Data from the CMS NPPES public registry.