LUKE ENGELMAN
NPI 1669867008
Pediatrics in Kansas City, MO
NPI Status: Active since April 02, 2015
Contact Information
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
Phone: (816) 234-3000
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About LUKE ENGELMAN
This page provides the complete NPI Profile along with additional information for Luke Engelman, a pediatrician established in Kansas City, Missouri with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1669867008 assigned on April 2015. The practitioner's primary taxonomy code is 208000000X with license number 04-41104 (KS). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1669867008
- Provider Name
- LUKE ENGELMAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2401 GILLHAM RD KANSAS CITY, MO 64108
- Location Phone
- (816) 234-3000
- Mailing Address
- 1916 NW 37TH ST OKLAHOMA CITY, OK 73118
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-02-2015
- Last Update Date
- 10-29-2018
- Code Navigator
A pediatrician like Luke Engelman is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 04-41104
- License State
- KS
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Select by Medica Bronze $0 Copay PCP Visits - EPO
- Select by Medica Bronze Share - EPO
- Select by Medica Catastrophic - EPO
- Select by Medica Expanded Bronze Standard - EPO
- Select by Medica Gold $0 Copay PCP Visits - EPO
- Select by Medica Gold Share - EPO
- Select by Medica Gold Standard - EPO
- Select by Medica Silver $0 Copay PCP Visits - EPO
- Select by Medica Silver Share - EPO
- Select by Medica Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Luke Engelman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 64108 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $55.29
- Maximum New Patient Price $168.52
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $13.82
- Maximum New Patient Copayment $42.13
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.82
- Minimum Established Patient Price $17.6
- Maximum Established Patient Price $137.2
- Average Established Patient Copayment $24.45
- Minimum Established Patient Copayment $4.4
- Maximum Established Patient Copayment $34.3
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 8 | 6 | 7 | 0 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 6 | 14 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 6 + 1 + 4 + 0 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1669867008 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JAMES F DANIEL MD
Pediatrics
(Pediatric Gastroenterology)
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
MICHELLE L ROACH CPNP
Nurse Practitioner
(Pediatrics)
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
DR. DALE E JARKA M.D.
Orthopaedic Surgery
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
MICHAEL F ARTMAN MD
Pediatrics
(Pediatric Cardiology)
2401 GILLHAM RD
DEPARTMENT OF PEDIATRICS
KANSAS CITY, MO
ZIP 64108
ROBYN A LIVINGSTON MD
Pediatrics
(Pediatric Infectious Diseases)
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
DR. IKECHUKWU I EKEKEZIE MD
Pediatrics
(Neonatal-Perinatal Medicine)
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
MRS. ANDREA MICHELLE ATHERTON M.S.
Genetic Counselor, MS
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
MR. MICHAEL L. BEGLEITER M.S., C.G.C.
Genetic Counselor, MS
2401 GILLHAM RD
CHILDREN'S MERCY HOSPITALS AND CLINICS
KANSAS CITY, MO
ZIP 64108
MRS. SHANNON MCGUIRE LILLIS MS
Genetic Counselor, MS
2401 GILLHAM RD
CHILDREN'S MERCY HOSPITAL- GENETICS
KANSAS CITY, MO
ZIP 64108
MARGARET MCKNIGHT LUND M.S.
Genetic Counselor, MS
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
BRYCE ARIC HEESE MD
Medical Genetics
(Clinical Biochemical Genetics)
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
DR. TIMOTHY D. JOHNSON D.O.
Pediatrics
(Pediatric Emergency Medicine)
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
KATHLEEN FARRELL M.D.
Hospitalist
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
DR. KIMBERLY L. GANDY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
DIANE M PFEIFER N.P.
Nurse Practitioner
(Neonatal)
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
DR. SHAO JIANG MD
Surgery
(Plastic and Reconstructive Surgery)
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
SHELLEY LISTON CPNP
Nurse Practitioner
(Pediatrics)
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
DR. GEORGE R NICHOLIS M.D.
Pediatrics
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
MEGHA SHAH CHANDRAMOHAN M.D.
Pediatrics
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
DIANA G WAISNER RNC, NNP
Nurse Practitioner
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669867008, enumerated as an "individual" on April 02, 2015.
The provider is located at 2401 GILLHAM RD KANSAS CITY, MO 64108 and the phone number is (816) 234-3000.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.
