Cristo Rey Healthcare, LLC
NPI 1205802279 · Family Medicine Physician · St Marys, KS
Cristo Rey Healthcare, LLC is a Family Medicine Physician organization in St Marys, KS (NPI 1205802279).
Provider details
- NPI number
- 1205802279
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Carroll, Physician(785) 437-3711
- License
- 04-23089 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jesuit Lane Family Practice
Registry dates
- Enumerated
- 2006-02-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is Cristo Rey Healthcare, LLC's NPI number?
- Cristo Rey Healthcare, LLC's National Provider Identifier (NPI) is 1205802279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cristo Rey Healthcare, LLC?
- Cristo Rey Healthcare, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cristo Rey Healthcare, LLC located?
- Cristo Rey Healthcare, LLC's practice location on file with NPPES is 907a E Jesuit Ln, St Marys, KS 66536-9605.
- What is Cristo Rey Healthcare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Cristo Rey Healthcare, LLC is (785) 437-3711.
- Who is the authorized official for Cristo Rey Healthcare, LLC?
- The authorized official listed on Cristo Rey Healthcare, LLC's NPPES record is Carl Carroll, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cristo Rey Healthcare, LLC's NPI active?
- Yes — Cristo Rey Healthcare, LLC's NPI (1205802279) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.