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

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: July 26, 2026.

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

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 University Of Kansas Hospital, 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
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

Secondary Practice Locations 5

Location 1205 NW R D Mize RdBlue Springs, MO 64014-2515 · Phone (816) 228-1000
Location 28929 Parallel PkwyKansas City, KS 66112-3607 · Phone (913) 596-4000
Location 31000 Carondelet DrKansas City, MO 64114-4673 · Phone (816) 943-4758 · Fax (816) 943-4757
Location 43550 S 4th StLeavenworth, KS 66048-5071 · Phone (913) 680-6000
Location 5201 NW Rd Mize RdBlue Springs, MO 64014-2513 · Phone (816) 228-5900

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

Hospital Affiliations CMS Care Compare 5

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260085
Location1000 Carondelet DrKansas City, MO 64114 · Jackson County
Emergency services

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.

Hospitalist
201 NW R D MIZE RD STE 206
BLUE SPRINGS, MO 64014
Nurse Practitioner
201 NW R D MIZE RD STE 206
BLUE SPRINGS, MO 64014
Hospitalist
201 NW R D MIZE RD STE 206
BLUE SPRINGS, MO 64014
Nurse Practitioner (Family)
201 NW R D MIZE RD STE 206
BLUE SPRINGS, MO 64014
Nurse Practitioner (Family)
201 NW R D MIZE RD STE 206
BLUE SPRINGS, MO 64014
Nurse Practitioner (Adult Health)
201 NW R D MIZE RD STE 206
BLUE SPRINGS, MO 64014

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 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.

Where is William Sudholt located?

William Sudholt practices at 201 NW R D Mize Rd Ste 206, Blue Springs, MO 64014. The listed phone number is (816) 655-5403.

What is William Sudholt's specialty?

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

Is William Sudholt enrolled in Medicare?

Yes. William Sudholt 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.

What insurance does William Sudholt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list William Sudholt 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.

Is William Sudholt affiliated with any hospitals?

According to CMS data, William Sudholt is affiliated with University Of Kansas Hospital, St Joseph Medical Center, Centerpoint Medical Center, St Lukes Hospital Of Kansas City and St Mary's Medical Center.

When was this NPI record last updated?

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