Centerwell Senior Primary Care (Mo) PC
NPI 1518787076ActiveOrganization· Internal Medicine· Kansas City, MO
Internal Medicine in Kansas City, Missouri, registered in NPPES in October 2024, part of Centerwell Senior Primary Care (Mo) PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1518787076 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care (Mo) PC |
| NPI issued | Oct 10, 2024 |
| Last updated in NPPES | Jan 24, 2025 |
| Certified by provider | Jan 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| General Practice | 208D00000X | — | — |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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