DR. WILLIAM F SUDHOLT D.O.
NPI 1164486254
Internal Medicine in Blue Springs, MO

Q: What is William Sudholt's NPI number?

The NPI number for William Sudholt is 1164486254. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Q: What is William Sudholt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for William Sudholt was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment

201 NW R D MIZE RD STE 206, BLUE SPRINGS, MO 64014(816) 655-5403(816) 655-5257 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, Apr 21, 2026, Nov 10, 2025 and 1 more (4 updates tracked since 2022).

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About Dr. William F Sudholt D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM F SUDHOLT D.O. (NPI 1164486254) is an individual internal medicine provider in Blue Springs, Missouri, licensed in Missouri (2005039937) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Centerpoint Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1164486254

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. WILLIAM F SUDHOLTCredential: D.O.

Location Address201 NW R D MIZE RD STE 206Blue Springs, MO 64014-2513

Mailing Address201 Nw R D Mize Rd # 214Blue Springs, MO 64014-2513 · (816) 655-5780

Phone(816) 655-5403

Fax(816) 655-5257

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateApril 14, 2006

Last NPPES UpdateMay 6, 20264 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1164486254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MO · 2005039937✔ Licensed in KS · 05-32227

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

201 NW R D MIZE RD STE 206, Blue Springs, MO 64014

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Secondary Practice Locations 5

Location 1205 NW R D Mize RdBlue Springs, MO 64014-2515 · Phone (816) 228-1000

Location 23550 S 4th StLeavenworth, KS 66048-5071 · Phone (913) 680-6000

Location 3201 NW Rd Mize RdBlue Springs, MO 64014-2513 · Phone (816) 228-5900

Location 41000 Carondelet DrKansas City, MO 64114-4673 · Phone (816) 943-4758 · Fax (816) 943-4757

Location 58929 Parallel PkwyKansas City, KS 66112-3607 · Phone (913) 596-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. William F Sudholt 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.

PECOS PAC ID1759305378

PECOS Enrollment IDI20060124000100, I20160425002087

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show William Sudholt reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prime Healthcare Kansas City - Physician Services LLC

26 mi

Family Medicine

930 CARONDELET DR STE 201
Kansas City, MO 64114

Reassigned Medicare billing, Missouri enrollment
180 clinicians in this Medicare group

NPI 1427449487 (816) 389-6100

Inpatient Consultants Of Kansas PA

27 mi

Internal Medicine

10901 GRANADA LN, 200
Overland Park, KS 66211

Reassigned Medicare billing, Kansas and Missouri enrollments
Also billed through NPI 1861795635 (Missouri)
175 clinicians in this Medicare group

NPI 1548563737 (913) 660-1616

Prime Healthcare Physician Services - Providence Inc

34 mi

General Practice

16663 MIDLAND DR STE 100
Shawnee, KS 66217

Reassigned Medicare billing, Kansas enrollment
128 clinicians in this Medicare group

NPI 1356683213 (913) 631-2600

Kansas Post Acute Medical Services 1 PA

203 mi

Hospitalist

300 E CHICAGO AVE
Colwich, KS 67030

Reassigned Medicare billing, Kansas and Missouri enrollments
Medicare enrollment name: Cs Pacs 3 Midwest LLC
Also billed through NPI 1972368785 (Missouri)
90 clinicians in this Medicare group

NPI 1124557020 (865) 693-1000

Ipc Pac Healthcare Services Of Missouri Inc

289 mi

Hospitalist

760 PLANTATION BLVD STE 210
Sikeston, MO 63801

Reassigned Medicare billing, Missouri enrollment
64 clinicians in this Medicare group

NPI 1326497587 (573) 471-0800

Nv Pacs 2 LLC

1,176 mi

Hospitalist

10550 PARK RUN DR
Las Vegas, NV 89144

Reassigned Medicare billing, Missouri enrollment
60 clinicians in this Medicare group

NPI 1427534809 (865) 693-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

479 services192 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

225 services38 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

194 services169 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

148 services13 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

140 services126 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services21 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

63 services44 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

50 services38 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

41 services16 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services14 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

31 services29 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services22 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260095

Location19600 East 39th StreetIndependence, MO 64057 · Jackson County

Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

St Mary's Medical Center

Acute Care Hospitals · Blue Springs, MO

4/5 CMS rating

OwnershipProprietary

CMS Certification Number260193

Location201 NW R D Mize RdBlue Springs, MO 64014 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%293 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$24.39 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$7.98 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers25 claims25 services$15.45 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers35 claims35 services$68.88 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier23 claims780 services$0.10 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers15 claims15 services$7.78 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORINNE SUNDAR RAO MD

Hospitalist