Prime Healthcare Kansas City - Physician Services LLC
NPI 1427449487 · Family Medicine Physician · Kansas City, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1427449487
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Doan, Managing Associate General Counsel(310) 259-4706
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
14 documented practice locations
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
Additional practice locations (13)
- 100 Nw Mock Ave Ste 200Blue Springs, MO 64014-2500Phone: (816) 228-1000
- 205 Nw Rd Mize Rd Ste 400Blue Springs, MO 64014Phone: (816) 228-9841
- 203 Nw Rd Mize Rd Ste 200Blue Springs, MO 64014Phone: (816) 220-1117
- 206 Nw Mock Ave Ste 200Blue Springs, MO 64014-2530Phone: (816) 416-8633
- 7201 E 147th St Ste 120Grandview, MO 64030-4204Phone: (913) 956-2250
- 1000 Carondelet Dr Ste 200Kansas City, MO 64114-4673Phone: (816) 942-4500
- 1000 Carondelet Dr Ste 201bKansas City, MO 64114-4673Phone: (913) 956-2250
- 1000 Carondelet DrKansas City, MO 64114-4673Phone: (816) 943-4758
- 930 Carondelet Dr Ste 200Kansas City, MO 64114-4698Phone: (816) 943-5690
Registry dates
- Enumerated
- 2015-02-12
- Last updated
- 2021-09-03
- Certified
- 2021-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.