Active NPI 1477559664 Individual Practitioner Male Practitioner

Dr. Richard E Whitlow , MD

Internal Medicine • Lansing, KS

Professional Overview & Biography Verified Profile Summary

Dr. Richard Whitlow, MD is a registered healthcare professional specializing in Internal Medicine in Lansing, KS. Practice services are available at 1004 PROGRESS DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1004 Progress Dr
Ste 220

Lansing, KS 660436326

Telephone 9137728200

Fax 9137720372

Associated Practice Facility / Clinic

🏢 Vivek Sahgal, Md, Pa Facility NPI 1518018837

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lansing, KS

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.0 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Lansing, KS (1061 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	495	371	$239.00	$117.80
99213 Established patient office or other outpatient visit, typically 15 minutes	294	225	$210.00	$82.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	155	155	$275.00	$119.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	141	72	$200.00	$99.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	14	$60.00	$13.15
69210 Removal of impacted ear wax	23	23	$125.00	$43.68
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$463.00	$287.90
G0009 Administration of pneumococcal vaccine	22	22	$50.00	$29.94
81003 Automated urinalysis test	21	19	$8.00	$2.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	18	$130.00	$49.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	17	13	$140.00	$68.86
G0008 Administration of influenza virus vaccine	15	15	$50.00	$28.40
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	13	13	$117.00	$75.81
91322 Sarscov2 vac 50 mcg/0.5ml im	13	13	$210.00	$143.00
90480 Admn sarscov2 vacc 1 dose	13	13	$105.00	$39.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	951	591	$207.00	$119.27
99213 Established patient office or other outpatient visit, typically 15 minutes	518	351	$175.00	$84.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	338	338	$275.00	$121.21
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	261	104	$180.00	$100.56
G0008 Administration of influenza virus vaccine	145	145	$50.00	$28.60
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	137	137	$110.00	$75.57
G0009 Administration of pneumococcal vaccine	103	103	$50.00	$28.60
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	101	101	$436.00	$281.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	80	14	$60.00	$13.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	46	$130.00	$48.82
69210 Removal of impacted ear wax	47	43	$125.00	$44.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	28	$135.00	$69.99
81002 Urinalysis, manual test	39	32	$8.00	$3.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	34	22	$180.00	$100.45
71046 X-ray of chest, 2 views	30	30	$51.00	$19.12
90480 Admn sarscov2 vacc 1 dose	28	28	$105.00	$38.12
91322 Sarscov2 vac 50 mcg/0.5ml im	28	28	$210.00	$143.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$325.00	$152.07
73562 X-ray of knee, 3 views	15	15	$95.33	$38.19
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$80.00	$32.05
73502 X-ray of hip, 2-3 views	12	12	$133.00	$29.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,033	596	$207.00	$120.88
99213 Established patient office or other outpatient visit, typically 15 minutes	509	364	$175.00	$85.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	379	379	$275.00	$123.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	355	108	$135.00	$64.45
G0008 Administration of influenza virus vaccine	174	170	$50.00	$27.45
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	168	164	$110.00	$70.09
G0009 Administration of pneumococcal vaccine	81	81	$50.00	$27.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$325.00	$157.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	11	$60.00	$13.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	53	46	$130.00	$49.77
81002 Urinalysis, manual test	51	38	$8.00	$3.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	46	46	$208.00	$131.09
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	34	34	$385.00	$278.05
69210 Removal of impacted ear wax	28	27	$125.00	$44.23
71046 X-ray of chest, 2 views	22	21	$48.00	$19.89
73502 X-ray of hip, 2-3 views	19	17	$133.00	$31.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	17	17	$180.00	$84.73
73564 X-ray of knee, 4 or more views	13	13	$86.54	$35.44
73030 X-ray of shoulder, minimum of 2 views	12	12	$58.33	$25.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$405.00	$158.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	952	583	$203.11	$123.52
99213 Established patient office or other outpatient visit, typically 15 minutes	401	271	$175.00	$86.67
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	366	120	$135.00	$65.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	365	365	$275.00	$126.72
G0008 Administration of influenza virus vaccine	179	178	$50.00	$15.91
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	168	167	$105.00	$66.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	77	16	$60.00	$13.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	50	44	$130.00	$50.20
69210 Removal of impacted ear wax	38	37	$125.00	$44.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$325.00	$159.85
73502 X-ray of hip, 2-3 views	22	22	$133.00	$30.66
71046 X-ray of chest, 2 views	22	22	$48.00	$19.72
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	21	21	$55.00	$18.05
G0009 Administration of pneumococcal vaccine	17	17	$50.00	$15.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$193.07	$125.52
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$405.00	$161.57
81002 Urinalysis, manual test	11	11	$8.00	$3.48
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$35.00	$20.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,350	665	$175.00	$71.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	374	110	$135.00	$67.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	227	227	$275.00	$111.18
G0008 Administration of influenza virus vaccine	223	222	$50.40	$15.86
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	189	189	$96.00	$61.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	103	$200.00	$103.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	20	$60.00	$13.64
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	52	52	$55.00	$17.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	51	14	$13.00	$2.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	44	44	$415.00	$164.77
G0009 Administration of pneumococcal vaccine	42	41	$52.62	$15.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$190.00	$102.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	32	$130.00	$51.08
81002 Urinalysis, manual test	31	24	$8.00	$3.36
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	26	$34.81	$19.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$173.00	$119.61
69210 Removal of impacted ear wax	24	20	$125.00	$45.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$165.00	$43.30
90670 Pneumococcal vaccine for injection into muscle	16	16	$326.00	$227.66
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$405.00	$160.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,960	828	$160.28	$70.54
93793 Anticoagulant management of patient taking warfarin	357	42	$30.00	$11.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	347	347	$275.00	$111.25
G0008 Administration of influenza virus vaccine	267	265	$60.00	$15.55
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	249	101	$135.00	$66.48
90653 Vaccine for influenza for injection into muscle	247	245	$80.00	$57.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	136	$210.00	$103.25
85610 Blood test, clotting time	171	26	$14.00	$4.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	159	34	$60.00	$15.85
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	117	25	$13.00	$1.80
G0009 Administration of pneumococcal vaccine	73	73	$60.00	$15.55
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	68	68	$55.00	$17.69
81002 Urinalysis, manual test	62	49	$8.00	$3.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$215.00	$103.13
90670 Pneumococcal vaccine for injection into muscle	43	43	$310.00	$208.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	22	$145.00	$70.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$85.00	$42.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$165.00	$109.39
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$41.00	$16.22
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$28.13	$18.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$330.00	$157.41
69210 Removal of impacted ear wax	23	20	$125.00	$45.15
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$42.00	$16.07
99238 Hospital discharge day management, 30 minutes or less	14	14	$182.00	$70.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	12	12	$180.00	$88.47
90471 Administration of 1 vaccine	12	12	$60.00	$15.86
83036 Hemoglobin A1C level	12	12	$34.00	$10.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$331.45	$132.70
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	11	11	$50.00	$23.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,823	757	$148.26	$68.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	448	448	$275.00	$110.03
93793 Anticoagulant management of patient taking warfarin	359	40	$30.00	$11.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	256	84	$180.00	$87.51
G0008 Administration of influenza virus vaccine	255	251	$60.00	$19.07
90653 Vaccine for influenza for injection into muscle	237	234	$57.83	$53.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	167	$210.00	$101.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	216	28	$60.00	$19.18
85610 Blood test, clotting time	191	27	$14.00	$4.65
G0009 Administration of pneumococcal vaccine	131	131	$60.00	$19.07
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	122	19	$13.00	$1.97
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	86	86	$55.00	$19.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	73	73	$135.00	$105.59
81002 Urinalysis, manual test	63	46	$8.00	$3.37
90670 Pneumococcal vaccine for injection into muscle	58	58	$244.00	$199.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$215.00	$101.88
87804 Detection test by immunoassay with direct visual observation for influenza virus	48	24	$41.00	$15.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	34	$85.00	$41.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	18	$145.00	$69.87
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	30	$130.00	$50.69
69210 Removal of impacted ear wax	29	29	$125.00	$45.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$330.00	$155.97
90471 Administration of 1 vaccine	21	21	$60.00	$19.18
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$40.00	$15.48
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	19	$24.00	$18.65
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	20	20	$50.00	$24.18
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$405.00	$157.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	13	13	$135.00	$66.07
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	13	13	$55.00	$19.25
83036 Hemoglobin A1C level	12	12	$34.00	$10.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,008	810	$145.00	$68.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	433	433	$275.00	$108.41
G0008 Administration of influenza virus vaccine	309	304	$60.00	$23.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	159	$210.00	$101.12
85610 Blood test, clotting time	221	35	$14.00	$5.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	209	36	$60.00	$23.57
90653 Vaccine for influenza for injection into muscle	207	207	$53.00	$49.22
G0009 Administration of pneumococcal vaccine	187	187	$60.00	$23.43
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	163	68	$135.00	$65.81
90670 Pneumococcal vaccine for injection into muscle	148	148	$244.00	$184.34
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	126	27	$13.00	$2.81
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	91	59	$180.00	$86.81
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	85	85	$55.00	$21.38
99495 Transitional care management services for problem of at least moderate complexity	76	71	$320.00	$152.17
90662 Influenza vaccine split virus, preservative free	65	65	$37.00	$36.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	63	31	$40.00	$18.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$215.00	$101.57
81002 Urinalysis, manual test	59	43	$8.00	$3.43
87804 Detection test by immunoassay with direct visual observation for influenza virus	58	29	$41.00	$16.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	37	$130.00	$50.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	31	$145.00	$69.07
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	40	40	$135.00	$95.13
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	38	38	$24.00	$18.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	32	$85.00	$40.71
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	35	35	$55.00	$21.38
69210 Removal of impacted ear wax	33	30	$125.00	$46.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$330.00	$155.35
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$40.00	$15.75
99219 Hospital observation care, typically 50 minutes	11	11	$270.00	$130.34

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KS 0421644

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100294290D (KS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Amy Holman , MD

Family Medicine

NPI 1669698205

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active November 17, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address November 17, 2017

Registered at 901 E. 104TH ST., MAILSTOP 400N, KANSAS CITY, MO 641319712 (Tel: 8165027104)

📍

Updated Practice Location November 17, 2017

Registered at 1004 PROGRESS DR, STE 220, LANSING, KS 660436326 (Tel: 9137728200)

👤

Provider Name / Credentials Updated November 17, 2017

Recorded as RICHARD WHITLOW, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2017

Internal Medicine (License #0421644 in KS)

✅

NPI Profile Active March 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2011

Registered at 1004 PROGRESS DR, STE 220, LANSING, KS 660436326 (Tel: 9137728200)

📍

Updated Business Mailing Address March 10, 2011

Registered at 1004 PROGRESS DR, SUITE 220, LANSING, KS 660436326 (Tel: 9137728200)

👤

Provider Name / Credentials Updated March 10, 2011

Recorded as RICHARD WHITLOW, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2011

Internal Medicine (License #0421644 in KS)

🟢

Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477559664

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 22, 2005

Last Update: November 17, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

901 E. 104th St., Mailstop 400n

Kansas City, MO 641319712

Phone: 8165027104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.