SAINT LUKES RADIATION THERAPY-LIBERTY LLC NPI 1912381005

NPI Information

  • NPI: 1912381005
  • Provider Name: SAINT LUKES RADIATION THERAPY-LIBERTY LLC
  • Classification: Clinic/Center - 261QX0203X
  • Specialization: Oncology, Radiation
  • Entity Type: Organization
  • Address: 2529 GLENN HENDREN DR
    SUITE G40
    LIBERTY, MO
    ZIP 64068
  • Phone: (816) 251-5630

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NPI Details

SAINT LUKES RADIATION THERAPY-LIBERTY LLC is an oncology and radiation clinic center in Liberty, MO. SAINT LUKES RADIATION THERAPY-LIBERTY LLC NPI is 1912381005. The provider is registered as an organization entity type.

The provider's business location address is:

2529 GLENN HENDREN DR
SUITE G40
LIBERTY, MO
ZIP 64068-606
Phone: (816) 251-5630

The provider's authorized official is Amy M Nachtigal .
The authorized official title is Cfo and has the following contact phone number (816) 932-2000.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev (HCPCS:G6013)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS:G6012)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment (HCPCS:G6017)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Complex radiation therapy planning (HCPCS:77263)
  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • X-ray during radiation therapy (HCPCS:77417)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • 3d radiation therapy planning (HCPCS:77295)
  • Cranial lesion surgery using radiation over multiple sessions (HCPCS:77373)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
  • Special radiation treatment (HCPCS:77470)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Complex radiation therapy planning for delivery of external radiation (HCPCS:77307)

The enumeration date for this NPI number is 7/17/2015 and was last updated on 8/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0203XClinic/CenterOncology, Radiation4885MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01685370OTHERMISSOURIRAILROAD MEDICARE
2MA6154MEDICARE OSCAR/CERTIFICATIONMISSOURI
31912381005MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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