Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Andrew Hacker, MD

Individual provider Internal Medicine Physician · NPI 1124557301

Dr. Ethan Andrew Hacker, MD is a Cardiac Electrophysiology in North Kansas City, Missouri. Qualified in 2017, 9 years ago. Practices with Meritas Health Corporation, a 494-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kansas, Missouri and Oklahoma.

Years since qualifying
9
Licensed in
KS, MO, OK
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2790 Clay Edwards Dr Ste 520570
North Kansas City, MO 64116-3276
Phone: (816) 221-6750
Fax: (816) 221-7280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160-8500 — (913) 588-3974
  • 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 — (405) 271-4742

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 2025032202 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 94-09160 (KS)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 35503 (OK)

Record details

NPI number1124557301
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2017
Last updated in NPPESAugust 22, 2025
Certification dateAugust 18, 2025
Mailing address2800 Clay Edwards Drive, Medical Staff Services, North Kansas City, MO 64116

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Meritas Health Corporation — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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