John Sallis, PA-C
NPI 1417038688 · Medical Physician Assistant · Kansas City, MO
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Sallis, PA-C is a Medical Physician Assistant provider in Kansas City, MO (NPI 1417038688).
Provider details
- NPI number
- 1417038688
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2002011268 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Sallis's NPI number?
- John Sallis's National Provider Identifier (NPI) is 1417038688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Sallis's specialty?
- John Sallis is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is John Sallis located?
- John Sallis's practice location on file with NPPES is 3801 Blue Pkwy, Kansas City, MO 64130-2807.
- What is John Sallis's phone number?
- The practice phone number listed in the NPPES registry for John Sallis is (816) 922-7645.
- Does John Sallis accept Medicare?
- John Sallis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Sallis's NPI active?
- Yes — John Sallis's NPI (1417038688) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.