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MARY BRULJA D.O.
NPI 1548664626
Obstetrics & Gynecology in Lees Summit, MO

Active since October 17, 2014PECOS EnrolledAccepts Medicare Assignment
20 NE SAINT LUKES BLVD STE 310, LEES SUMMIT, MO 64086(816) 282-7809(816) 282-7870 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 25, 2021, Mar 17, 2018, Sep 11, 2017 and 2 more (5 updates tracked since 2017).

About Mary Brulja D.o. NPPES

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

MARY BRULJA D.O. (NPI 1548664626) is an individual obstetrics & gynecology provider in Lees Summit, Missouri, licensed in Missouri (2017011922) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Saint Luke's East Hospital, and maintains a secondary practice location in Overland Park.

NPPES Registry Identity

NPI1548664626
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY BRULJACredential: D.O.
Location Address20 NE SAINT LUKES BLVD STE 310Lees Summit, MO 64086-6001
Mailing Address20 Ne Saint Lukes Blvd Ste 310Lees Summit, MO 64086-6001 · (816) 282-7809 · Fax (816) 282-7870
Phone(816) 282-7809
Fax(816) 282-7870
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 17, 2014
Last NPPES UpdateFebruary 25, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1548664626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MO · 2017011922✔ Licensed in KS · 05-39943
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
20 NE SAINT LUKES BLVD STE 310, Lees Summit, MO 64086
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Secondary Practice Location 1

Location 15701 W 119th St Ste 225Overland Park, KS 66209-3721 · Phone (913) 601-4020 · Fax (913) 601-4022

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, UnitedHealthcare.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

Mary Brulja 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 ID5799053567
PECOS Enrollment IDI20170620001296, I20170620001725
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

2

Medicare enrollment records show Mary Brulja reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockhill Women's Care, Inc
5.0 mi
Specialist
20 NE SAINT LUKES BLVD, SUITE 310
Lees Summit, MO 64086
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 13 clinicians in this Medicare group
NPI 1336181734 (816) 282-7809
Midwest Physician Group, LLC
21 mi
Internal Medicine
8655 COLLEGE BLVD
Overland Park, KS 66210
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 26 clinicians in this Medicare group
NPI 1134920580 (913) 648-0073

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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 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
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAMANTHA ACACIA JANSSEN MD
Obstetrics & Gynecology
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Jackson County (816) 282-7809
MARY A. COWAN MSN, APN
Nurse Practitioner (Women's Health)
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Jackson County (816) 282-7809
DR. ASHLEY NICOLE ZEILENGA DO
Obstetrics & Gynecology
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Jackson County (816) 282-7809
COURTNEY ANN ANGELL M.D.
Obstetrics & Gynecology
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Jackson County (816) 282-7809
DR. SUSAN EZELL DO
Obstetrics & Gynecology
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Jackson County (816) 282-7809
JULIA C JOHNSON MD
Obstetrics & Gynecology
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Jackson County (816) 282-7809

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 Mary Brulja's NPI number?

The NPI number for Mary Brulja is 1548664626. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Mary Brulja located?

Mary Brulja practices at 20 NE Saint Lukes Blvd Ste 310, Lees Summit, MO 64086. The listed phone number is (816) 282-7809.

What is Mary Brulja's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mary Brulja enrolled in Medicare?

Yes. Mary Brulja 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 Mary Brulja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Brulja reassigns Medicare benefits to 2 organizations: Rockhill Women's Care, Inc (Lees Summit, MO) and Midwest Physician Group, LLC (Overland Park, KS). 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 Mary Brulja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Brulja accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Mary Brulja 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 Mary Brulja affiliated with any hospitals?

According to CMS data, Mary Brulja is affiliated with Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Mary Brulja was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.