OrganizationActive
Centerwell Senior Primary Care Mo PC
NPI 1366922635 · Internal Medicine Physician · Kansas City, MO
Provider details
- NPI number
- 1366922635
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Centerwell Senior Primary Care Mo PC
- Organization subpart
- Yes
- Authorized official
- Angie Martinez, Senior Credentialing Professional(407) 447-7120
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
5420 E. Bannister Road
Kansas City, MO 64137
Phone: (816) 946-6930
Fax: (855) 392-7990
Approximate (ZIP-level) locationGet directions
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Other names (DBA / former)
- Doing business as
- Centerwell Senior Primary Care-Bannister Rd
- Doing business as
- Centerwell Senior Primary Care-Raytown
- Doing business as
- Partners in Primary Care - Raytown
- Former legal business name
- Partners in Primary Care Mo PC
- Former legal business name
- Partners in Primary Care Mo PC
- Former legal business name
- Partners in Primary Care Nc PC
Registry dates
- Enumerated
- 2018-08-16
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.