OrganizationActive
Advanced Urologic Associates, Inc
NPI 1801389267 · Urology Physician · Independence, MO
Provider details
- NPI number
- 1801389267
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Saint Luke'S Health System Inc.
- Organization subpart
- Yes
- Authorized official
- Karen Rawert, Manager, Payor Enrollment(816) 502-8782
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
19001 E 48th St S
Independence, MO 64055-6964
Phone: (816) 502-8782
Street-level locationGet directions
Mailing address
901 E 104th St
Kansas City, MO 64131-4517
Registry dates
- Enumerated
- 2018-06-11
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.