IndividualActive
Anne Idiculla, M.D.
NPI 1114954559 · Physical Medicine & Rehabilitation Physician · Saint Joseph, MO
Provider details
- NPI number
- 1114954559
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2001010866 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
802 N Riverside Rd
Suite 260
Saint Joseph, MO 64507-9794
Phone: (816) 271-7673
Fax: (816) 271-4924
Street-level locationGet directions
Mailing address
802 N Riverside Rd
Saint Joseph, MO 64507-2502
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2017-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.