ARCHWELL HEALTH PROFESSIONAL SERVICES OF KANSAS, P.A. – Internal Medicine Physician, NPI 1083289086
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ARCHWELL HEALTH PROFESSIONAL SERVICES OF KANSAS, P.A.
1315 Aubert Ave
Saint Louis, MO 631131918
Phone: (888) 987-1151
Type: Location
11605 E 23rd St S
Independence, MO 640504201
Phone: (888) 987-1151
Type: Location
9150 Page Avenue
Overland, MO 63114
Phone: (888) 987-1151
Type: Location
3135 Prospect Ave
Kansas City, MO 641281552
Phone: (888) 987-1151
Type: Location
9840 W 87th St
Overland Park, KS 662124564
Phone: (888) 987-1151
Type: Location
4650 Chippewa Street
Saint Louis, MO 63116
Phone: (888) 987-1151
Type: Location
102 WOODMONT BLVD STE 600
NASHVILLE, TN 372055250
Phone:
Type: Mailing
199 N FLORISSANT RD
FERGUSON, MO 631351976
Phone: (888) 987-1151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2022-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (141 days away).
Enrollment records
2
Earliest due date
2026-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20211011001089 | O | Clinic/Group Practice | KS | 2026-10-31 |
| O20220411001999 | O | Clinic/Group Practice | MO | TBD |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 63113)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.