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

Individual provider Neurological Surgery Physician · NPI 1508061425

Dr. Koji Christopher Ebersole, MD is a Neurosurgery in Kansas City, Kansas. Qualified in 2003, 23 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
23
Licensed in
NJ
In the registry since
2007
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

3901 Rainbow Blvd # MS 3021
Kansas City, KS 66160-8500
Phone: (913) 588-6122
Fax: (913) 945-8225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 25MA08066700 (NJ)

Record details

NPI number1508061425
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESAugust 13, 2014

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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