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DR. JOSEPH THEODORE CERNICH M.D.
NPI 1568412377
Pediatrics - Pediatric Endocrinology in Kansas City, MO

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
3101 BROADWAY BLVD, KANSAS CITY, MO 64111(816) 302-3700(816) 302-9939 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2025, Feb 9, 2016 (2 updates tracked since 2016).

About Dr. Joseph Theodore Cernich M.d. NPPES

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

DR. JOSEPH THEODORE CERNICH M.D. (NPI 1568412377) is an individual pediatric endocrinology provider in Kansas City, Missouri, licensed in Missouri (2003000631) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2000).

NPPES Registry Identity

NPI1568412377
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameDR. JOSEPH THEODORE CERNICHCredential: M.D.
Location Address3101 BROADWAY BLVDKansas City, MO 64111-2659
Mailing Address2401 Gillham Rd, Attn Provider Enrollment DeptKansas City, MO 64108-4619 · (816) 701-5200 · Fax (816) 302-9939
Phone(816) 302-3700
Fax(816) 302-9939
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2000
Enumeration DateMay 11, 2006
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1568412377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Licenses✔ Licensed in MO · 2003000631✔ Licensed in KS · 04-29903
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
3101 BROADWAY BLVD, Kansas City, MO 64111
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Other Identifiers 1

Medicaid209246305MO

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Theodore Cernich M.d. 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 ID2365436722
PECOS Enrollment IDI20040409000416, I20050906000345
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 Reassignment

Medicare enrollment records show Joseph Cernich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Children's Mercy Hospital
1.1 mi
Pediatrics
2401 GILLHAM RD
Kansas City, MO 64108
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: The Childrens Mercy Hospital
  • 394 clinicians in this Medicare group
NPI 1851437719 (816) 234-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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.

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.

TAYLOR AGARWAL
Speech-Language Pathologist
3101 BROADWAY BLVD
KANSAS CITY, MO 64111
Jackson County (816) 234-3000
GEORGE C PHILLIPS MD
Pediatrics
3101 BROADWAY BLVD
KANSAS CITY, MO 64111
Jackson County (816) 960-3070
BETHANY J SCHMIDT
Social Worker (Clinical)
3101 BROADWAY BLVD
KANSAS CITY, MO 64111
Jackson County (816) 234-3700
REBECCA STUKENHOLTZ MS, CCC-SLP
Speech-Language Pathologist
3101 BROADWAY BLVD
KANSAS CITY, MO 64111
Jackson County (816) 960-4001
EMILY LAFFERTY
Nurse Practitioner (Pediatrics)
3101 BROADWAY BLVD
KANSAS CITY, MO 64111
Jackson County (816) 234-3000
MARK A WULFF MD
Pediatrics
3101 BROADWAY BLVD
KANSAS CITY, MO 64111
Jackson County (816) 960-3060
BRENDA KAY SITZMANN MA, CCC-SLP
Speech-Language Pathologist
3101 BROADWAY BLVD, HEARING & SPEECH (8TH FLOOR)
KANSAS CITY, MO 64111
Jackson County (816) 960-4001
DR. LESLEE THROCKMORTON BELZER PH.D.
Psychologist (Clinical Child & Adolescent)
3101 BROADWAY BLVD
KANSAS CITY, MO 64111
Jackson County (816) 960-8000

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 Joseph Cernich's NPI number?

The NPI number for Joseph Cernich is 1568412377. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Joseph Cernich located?

Joseph Cernich practices at 3101 Broadway Blvd, Kansas City, MO 64111. The listed phone number is (816) 302-3700.

What is Joseph Cernich's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Joseph Cernich enrolled in Medicare?

Yes. Joseph Cernich 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 organization bills Medicare for Joseph Cernich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Cernich reassigns Medicare benefits to The Children's Mercy Hospital (Kansas City, MO). The 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 Joseph Cernich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Cernich accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Joseph Cernich 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 Joseph Cernich was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.