Centerwell Senior Primary Care Mo PC
NPI 1366922635ActiveOrganization· Internal Medicine· Kansas City, MO
Internal Medicine in Kansas City, Missouri, registered in NPPES in August 2018, part of Centerwell Senior Primary Care Mo PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1366922635 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care Mo PC |
| NPI issued | Aug 16, 2018 |
| Last updated in NPPES | Jan 26, 2026 |
| Certified by provider | Jan 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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