SAMUEL U. RODGERS HEALTH CENTER, INC. – Federally Qualified Health Center (FQHC), NPI 1578570982

SAMUEL U. RODGERS HEALTH CENTER, INC. is a healthcare provider. based in Kansas city, Missouri. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. H80CS00784 (MO). The NPI Number for SAMUEL U. RODGERS HEALTH CENTER, INC. is 1578570982

Main info

Organization
Name
SAMUEL U. RODGERS HEALTH CENTER, INC.
NPI
1578570982
Phone
(816) 474-4920
Address
825 EUCLID AVENUE
Authorized Official
MR. ROBERT THEIS ACTING CHIEF EXECUTIVE OFFICER CPA, BA, MA
Enumeration Date
1 August 2006
Last Update Date
11 June 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SAMUEL U. RODGERS HEALTH CENTER, INC.

  • Samuel U. Rodgers Health Center, 825, Euclid Avenue, Kansas City, Jackson County, Missouri, 64124, United States

    KANSAS CITY, MO 64124

    Phone: (816) 474-4920

    Fax: (816) 889-1845

    Mailing address matches the actual address.

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: 2007-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (20 days away).

Enrollment records

1

Earliest due date

2026-06-30

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
O20070601000592OFederally Qualified Health Center (Fqhc)MO2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 64124)

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Reviews

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Frequently asked questions

What is the standard ID for SAMUEL U. RODGERS HEALTH CENTER, INC. in the U.S.?
In the U.S., SAMUEL U. RODGERS HEALTH CENTER, INC. is identified by NPI 1578570982.
Should I treat SAMUEL U. RODGERS HEALTH CENTER, INC. as an active provider?
Patients and plans typically see SAMUEL U. RODGERS HEALTH CENTER, INC. as active in the national extract.
What type of care does SAMUEL U. RODGERS HEALTH CENTER, INC. provide?
SAMUEL U. RODGERS HEALTH CENTER, INC.'s profile centers on Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Is SAMUEL U. RODGERS HEALTH CENTER, INC. tied to Kansas City, Missouri?
If you are local to Kansas City, Missouri, SAMUEL U. RODGERS HEALTH CENTER, INC. may be relevant to your search.
Can I export SAMUEL U. RODGERS HEALTH CENTER, INC.'s record?
You can download the official NPPES record; we summarize key fields for readability.

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