DR. TODD ALAN STASTNY M.D.
NPI 1316002975
General Practice in Lees Summit, MO

Q: What is Todd Stastny's NPI number?

The NPI number for Todd Stastny is 1316002975. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Q: What is Todd Stastny's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Stastny was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 26, 2006PECOS Enrolled

400 SW LONGVIEW BLVD STE 200, LEES SUMMIT, MO 64081(913) 215-5008(913) 297-1202 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 20, 2023, Jul 21, 2023, Feb 14, 2020 (3 updates tracked since 2020).

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About Dr. Todd Alan Stastny M.d. NPPES

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

DR. TODD ALAN STASTNY M.D. (NPI 1316002975) is an individual general practice provider in Lees Summit, Missouri, licensed in Missouri (R2J77) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Overland Park.

NPPES Registry Identity

NPI1316002975

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. TODD ALAN STASTNYCredential: M.D.

Location Address400 SW LONGVIEW BLVD STE 200Lees Summit, MO 64081-2116

Mailing Address1920 Nw 2nd StBlue Springs, MO 64014-1702 · (816) 228-3659

Phone(913) 215-5008

Fax(913) 297-1202

Sole ProprietorYes

Enumeration DateDecember 26, 2006

Last NPPES UpdateNovember 20, 20233 updates tracked since enumeration

NPPES CertifiedNovember 20, 2023

✔ NPI 1316002975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MO · R2J77

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

400 SW LONGVIEW BLVD STE 200, Lees Summit, MO 64081

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Secondary Practice Location 1

Location 14600 College Blvd Ste 103Overland Park, KS 66211-1606 · Phone (913) 215-5008 · Fax (913) 297-1202

Other Identifiers 1

Other080167543MO · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Todd Alan Stastny M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 11

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

TINA NICHOLE LANE FNP

Nurse Practitioner