Carondelet Physician Services, Inc.
NPI 1699040006ActiveOrganization· Family Medicine· Grain Valley, MO
Family Medicine in Grain Valley, Missouri, registered in NPPES in March 2012, part of Carondelet Health. The authorized official on file is Steven R. Cleary, Vp And Cfo.
Overview
| NPI | 1699040006 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Carondelet Health |
| NPI issued | Mar 19, 2012 |
| Last updated in NPPES | Mar 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 106682 | MO |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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