NEW LIBERTY HOSPITAL COPORATION
NPI 1053284190
Internal Medicine - Nephrology in Liberty, MO

Active since September 25, 2025
2521 GLENN HENDREN DR STE 202, LIBERTY, MO 64068(816) 415-3470 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About New Liberty Hospital Coporation NPPES

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

NEW LIBERTY HOSPITAL COPORATION (NPI 1053284190) is a healthcare organization registered as a nephrology in Liberty, Missouri and active in the NPI registry since September 2025. The organization lists John Staton, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1053284190
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNEW LIBERTY HOSPITAL COPORATION
Location Address2521 GLENN HENDREN DR STE 202Liberty, MO 64068-3388
Mailing AddressPo Box 219672Kansas City, MO 64121-9672
Organization SubpartYes
Authorized OfficialJohn StatonChief Operating Officer · (816) 792-7091
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1053284190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2521 GLENN HENDREN DR STE 202, Liberty, MO 64068

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Liberty Hospital Coporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

166

Medicare enrollment records show 166 clinicians reassign Medicare billing to New Liberty Hospital Coporation, which bills Medicare for the services they deliver. Of these, 40 practice at this address and 94 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner46
Family Practice18
Internal Medicine18
Nephrology10
Pulmonary Disease8
Orthopedic Surgery7
Otolaryngology7
General Surgery6
19 other specialties46

Nearest to this location (20)

See all 166
Nurse Practitioner
NPI 1417623802
2521 GLENN HENDREN DR STE 204
Liberty, MO 64068
(816) 781-6066
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1316144223
2521 GLENN HENDREN DR STE 104
Liberty, MO 64068
(816) 781-1001
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932871811
2521 GLENN HENDREN DRIVE, SUITE 411
Liberty, MO 64068
(816) 407-9232
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1740609460
2521 GLENN HENDREN DR SUITE 104
Liberty, MO 64068
(816) 781-1001
✔ Accepts MedicareSame address
General Surgery
NPI 1700801073
2521 GLENN HENDREN DR STE 108
Liberty, MO 64068
(816) 781-3515
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1063897403
2521 GLENN HENDREN DR STE 104
Liberty, MO 64068
(816) 781-1001
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1477540227
2521 GLENN HENDREN DR SUITE 204
Liberty, MO 64068
(816) 781-6066
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1477089225
2521 GLENN HENDREN DR STE 108
Liberty, MO 64068
(816) 781-3515
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1679684591
2521 GLENN HENDREN DR SUITE 306
Liberty, MO 64068
(816) 407-5490
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1063409381
2521 GLENN HENDREN DR SUITE 306
Liberty, MO 64068
(816) 407-5430
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1114967627
2521 GLENN HENDREN DR SUITE 204
Liberty, MO 64068
(816) 781-6066
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1659593267
2521 GLENN HENDREN DR STE 402
Liberty, MO 64068
(816) 781-8445
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1881672376
2521 GLENN HENDREN DR STE 411
Liberty, MO 64068
(816) 407-9232
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1609079938
2521 GLENN HENDREN DR SUITE 306
Liberty, MO 64068
(816) 407-5490
✔ PECOS✔ Accepts MedicareSame address
Interventional Pain Management
NPI 1932182763
2525 GLENN HENDREN DR PAIN MANAGEMENT
Liberty, MO 64068
(816) 781-7200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1588127625
2525 GLENN HENDREN DR
Liberty, MO 64068
(816) 781-7200
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1114031580
2525 GLENN HENDREN DR
Liberty, MO 64068
(816) 781-8445
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1275037954
2525 GLENN HENDREN DR
Liberty, MO 64068
(816) 781-7200
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1124255021
2525 GLENN HENDREN DR
Liberty, MO 64068
(816) 415-3420
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1912432782
2609 GLENN HENDREN DR
Liberty, MO 64068
(816) 781-7730
✔ PECOS✔ Accepts MedicareSame address
See all 166 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 New Liberty Hospital Coporation's NPI number?

The NPI number for New Liberty Hospital Coporation is 1053284190. It was assigned to this organization in the NPPES registry on September 25, 2025.

Where is New Liberty Hospital Coporation located?

New Liberty Hospital Coporation is located at 2521 Glenn Hendren Dr Ste 202, Liberty, MO 64068. The listed phone number is (816) 415-3470.

What is New Liberty Hospital Coporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is New Liberty Hospital Coporation enrolled in Medicare?

Yes. New Liberty Hospital Coporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Liberty Hospital Coporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 166 clinicians in 27 Medicare specialties reassign their Medicare billing to New Liberty Hospital Coporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (46), Family Practice (18) and Internal Medicine (18). Of these, 40 practice at this address and 94 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New Liberty Hospital Coporation was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.