Centerwell Senior Primary Care (Mo) PC
NPI 1639692098ActiveOrganization· Internal Medicine· Kansas City, MO
Internal Medicine in Kansas City, Missouri, registered in NPPES in July 2017, part of Centerwell Senior Primary Care (Mo) PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639692098 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care (Mo) PC |
| NPI issued | Jul 18, 2017 |
| Last updated in NPPES | Aug 19, 2024 |
| Certified by provider | Aug 19, 2024 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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