PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC – Family Medicine Physician, NPI 1427449487
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC
930 Carondelet Dr Ste 200
Kansas City, MO 641144698
Phone: (816) 943-5690
Type: Location
206 NW Mock Ave Ste 200
Blue Springs, MO 640142530
Phone: (816) 416-8633
Type: Location
930 CARONDELET DR STE 201
KANSAS CITY, MO 641144698
Phone: (816) 389-6100
Type: Location
1000 Carondelet Dr Ste 201B
Kansas City, MO 641144673
Phone: (913) 956-2250
Type: Location
100 NW Mock Ave Ste 200
Blue Springs, MO 640142500
Phone: (816) 228-1000
Type: Location
205 NW RD Mize Rd Ste 400
Blue Springs, MO 64014
Phone: (816) 228-9841
Type: Location
203 NW RD Mize Rd Ste 200
Blue Springs, MO 64014
Phone: (816) 220-1117
Type: Location
3200 NE Ralph Powell Rd
Lees Summit, MO 640642301
Phone: (816) 525-1600
Type: Location
7201 E 147th St Ste 120
Grandview, MO 640304204
Phone: (913) 956-2250
Type: Location
1000 Carondelet Dr Ste 100
Kansas City, MO 641144673
Phone: (816) 941-9030
Type: Location
302 SE Salem St
Oak Grove, MO 640759299
Phone: (816) 690-6566
Type: Location
1004 Carondelet Dr Ste 440
Kansas City, MO 641144845
Phone: (816) 943-7777
Type: Location
1000 Carondelet Dr
Kansas City, MO 641144673
Phone: (816) 943-4758
Type: Location
1000 Carondelet Dr Ste 200
Kansas City, MO 641144673
Phone: (816) 942-4500
Type: Location
1000 CARONDELET DR
KANSAS CITY, MO 641144673
Phone: (816) 943-2583
Type: Mailing
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: 2015-08-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20150514001835 | O | Clinic/Group Practice | MO | TBD |
| O20150821014717 | O | Clinic/Group Practice | KS | TBD |
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.
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 64114)
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