Archwell Health Professional Services of Kansas, P.A.
NPI 1083289086ActiveOrganization· Internal Medicine· Ferguson, MO
Internal Medicine in Ferguson, Missouri, registered in NPPES in May 2021. The authorized official on file is Lisa Lucas, Chief Administrative Officer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1083289086 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2021 |
| Last updated in NPPES | Apr 5, 2023 |
| Certified by provider | Apr 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (MO) |
|---|
Other internal medicine physicians in Ferguson
- 1497832224
- 1851749139
- 1093708240
- 1366947400
- 1811997414