State Line Medical Group LLC
NPI 1679529853 · Internal Medicine Physician · Kansas City, MO
State Line Medical Group LLC is a Internal Medicine Physician organization in Kansas City, MO (NPI 1679529853).
Provider details
- NPI number
- 1679529853
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ken Washington, Vp(816) 333-9886
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
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is State Line Medical Group LLC's NPI number?
- State Line Medical Group LLC's National Provider Identifier (NPI) is 1679529853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State Line Medical Group LLC?
- State Line Medical Group LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is State Line Medical Group LLC located?
- State Line Medical Group LLC's practice location on file with NPPES is 7611 State Line Rd, Kansas City, MO 64114-6801.
- What is State Line Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for State Line Medical Group LLC is (816) 333-9886.
- Who is the authorized official for State Line Medical Group LLC?
- The authorized official listed on State Line Medical Group LLC's NPPES record is Ken Washington, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State Line Medical Group LLC's NPI active?
- Yes — State Line Medical Group LLC's NPI (1679529853) 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.