Central Missouri Urology Clinic, Inc
NPI 1710940630 · Specialist · Rolla, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Missouri Urology Clinic, Inc is a Specialist organization in Rolla, MO (NPI 1710940630).
Provider details
- NPI number
- 1710940630
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Kaczmarek, President Urologist(573) 364-1014
- License
- 110031 (MO)
Specialties & taxonomies
Other Service Providers
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
- 2006-04-11
- Last updated
- 2010-06-29
Frequently asked questions
- What is Central Missouri Urology Clinic, Inc's NPI number?
- Central Missouri Urology Clinic, Inc's National Provider Identifier (NPI) is 1710940630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Missouri Urology Clinic, Inc?
- Central Missouri Urology Clinic, Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Central Missouri Urology Clinic, Inc located?
- Central Missouri Urology Clinic, Inc's practice location on file with NPPES is 1428 East 72 Highway, Rolla, MO 65401.
- What is Central Missouri Urology Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Central Missouri Urology Clinic, Inc is (573) 364-1014.
- Does Central Missouri Urology Clinic, Inc accept Medicare?
- Central Missouri Urology Clinic, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Central Missouri Urology Clinic, Inc?
- The authorized official listed on Central Missouri Urology Clinic, Inc's NPPES record is Anthony Kaczmarek, President Urologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Missouri Urology Clinic, Inc's NPI active?
- Yes — Central Missouri Urology Clinic, Inc's NPI (1710940630) is active in the NPPES registry as of the last update on 2010-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.