CENTERWELL SENIOR PRIMARY CARE KS PA
NPI 1013438654
Internal Medicine in Olathe, KS

Active since July 05, 2017CLIA 17D2136729 · Waiver
16575 W 119TH ST, OLATHE, KS 66061(913) 815-5508(855) 446-7281 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 19, 2024, Oct 20, 2022, Feb 23, 2021 and 6 more (9 updates tracked since 2017).

About Centerwell Senior Primary Care Ks Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE KS PA (NPI 1013438654), doing business as Partners In Primary Care (ks), P.a, is a healthcare organization registered as an internal medicine in Olathe, Kansas and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1013438654
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE KS PA
Location Address16575 W 119TH STOlathe, KS 66061-7770
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Fax(855) 446-7281
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateJuly 5, 2017
Last NPPES UpdateAugust 19, 20249 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
NPI 1013438654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

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.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
16575 W 119TH ST, Olathe, KS 66061

Other Names 5

Former Legal Business NamePartners In Primary Care (ks), P.a
Doing Business AsCenterwell Senior Primary Care -olathe
Doing Business AsPartners In Primary Care- Olathe
Former Legal Business NamePartners In Primary Care Ks Pa
Former Legal Business NamePartners In Primary Care Tx Pa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2136729

Centerwell Senior Primary Care-Olathe · Olathe, KS
Active · expires Sep 13, 2027
CLIA Number17D2136729
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorStephanie Ikeme
Laboratory Phone(913) 815-5508
Laboratory LocationCenterwell Senior Primary Care-Olathe16575 W 119th Street, Olathe, KS 66061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
16575 W 119TH ST
OLATHE, KS 66061
Family Medicine
16575 W 119TH ST
OLATHE, KS 66061
Pharmacist
16575 W 119TH ST
OLATHE, KS 66061
Nurse Practitioner (Gerontology)
16575 W 119TH ST
OLATHE, KS 66061
Internal Medicine
16575 W 119TH ST
OLATHE, KS 66061
Family Medicine
16575 W 119TH ST
OLATHE, KS 66061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerwell Senior Primary Care Ks PA's NPI number?

The NPI number for Centerwell Senior Primary Care Ks PA is 1013438654. It was assigned to this organization in the NPPES registry on July 5, 2017.

Where is Centerwell Senior Primary Care Ks PA located?

Centerwell Senior Primary Care Ks PA is located at 16575 W 119th St, Olathe, KS 66061. The listed phone number is (913) 815-5508.

What is Centerwell Senior Primary Care Ks PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care Ks PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2136729) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Ks PA was last updated on August 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.