CHARLES WARD III VAN WAY (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1275501595

CHARLES WARD III VAN WAY (M.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold the professional credentials M.D.. They hold a License No. R2J85 (MO). The NPI Number for CHARLES WARD III VAN WAY (M.D.) is 1275501595

Main info

Male
62 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES WARD III VAN WAY (M.D.)
NPI
1275501595
Phone
(816) 218-2500
Address
2310 HOLMES ST
Enumeration Date
11 March 2006
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8164041000
Graduation Year
1964 (62 years ago)
PAC ID
6002940681
Group Practice PAC ID
1153235825
Professional Enrollment ID
I20100818000445
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CHARLES WARD III VAN WAY (M.D.)

  • 2310, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States

    STE 800

    KANSAS CITY, MO 641082634

    Phone: (816) 218-2500

    Fax: (816) 421-7379

    Type: Mailing

  • Truman Medical Center, Hospital Hill, 2301, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States

    KANSAS CITY, MO 64108

    Phone: (816) 404-0099

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100818000445IEndocrinologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153235825View full group profile
NameSpecialtyState
D E R M A T O L O G YDC
D E R M A T O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Internal MedicineMO
-MO
P S Y C H I A T R YMO
P S Y C H I A T R YMO
Orthopedic SurgeryMO
Orthopedic SurgeryPA
P S Y C H I A T R YMO

Reviews

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Frequently asked questions

What NPI should I save for CHARLES WARD III VAN WAY (M.D.)?
Save NPI 1275501595 if you need a stable reference for CHARLES WARD III VAN WAY (M.D.).
Does this profile mean CHARLES WARD III VAN WAY (M.D.) is currently active?
Yes — CHARLES WARD III VAN WAY (M.D.) appears active in the national provider directory.
What does CHARLES WARD III VAN WAY (M.D.) treat or focus on?
Patients typically see CHARLES WARD III VAN WAY (M.D.) under the specialty Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for CHARLES WARD III VAN WAY (M.D.)?
The page summarizes Kansas City, Missouri for CHARLES WARD III VAN WAY (M.D.); expand the address list for detail.
How can I contact CHARLES WARD III VAN WAY (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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