KANSAS CITY KIDNEY CONSULTANTS, PA
NPI 1164528626
Internal Medicine - Nephrology in Kansas City, MO

Q: What is Kansas City Kidney Consultants, PA's NPI number?

The NPI number for Kansas City Kidney Consultants, PA is 1164528626. It was assigned to this organization in the NPPES registry on September 15, 2006.

Q: What is Kansas City Kidney Consultants, PA's specialty?

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

Active since September 15, 2006CLIA 26D0679833 · Waiver

4320 WORNALL RD STE 208, KANSAS CITY, MO 64111(816) 531-0552(816) 756-2503 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2022, Jul 14, 2017 (2 updates tracked since 2017).

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About Kansas City Kidney Consultants, Pa NPPES

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

KANSAS CITY KIDNEY CONSULTANTS, PA (NPI 1164528626) is a healthcare organization registered as a nephrology in Kansas City, Missouri and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Ryan M Lustig, President, as its authorized official.

NPPES Registry Identity

NPI1164528626

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameKANSAS CITY KIDNEY CONSULTANTS, PA

Location Address4320 WORNALL RD STE 208Kansas City, MO 64111-5964

Mailing Address4320 Wornall Rd Ste 208Kansas City, MO 64111-5964 · (816) 531-0552 · Fax (816) 756-2503

Phone(816) 531-0552

Fax(816) 756-2503

Organization SubpartNo

Authorized OfficialRyan M LustigPresident · (816) 531-0552

Enumeration DateSeptember 15, 2006

Last NPPES UpdateMay 6, 20222 updates tracked since enumeration

NPPES CertifiedMay 6, 2022

✔ NPI 1164528626 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.

4320 WORNALL RD STE 208, Kansas City, MO 64111

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Other Identifiers 1

Medicaid501081905MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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 26D0679833

Kansas City Kidney Consultants, PA · Kansas City, MO

Active · expires Jan 18, 2027

CLIA Number26D0679833

Laboratory TypePhysician Office

Certificate Effective DateJanuary 19, 2025

Certificate Expiration DateJanuary 18, 2027

Laboratory DirectorRyan M. Lustig

Laboratory Phone(816) 531-0552

Laboratory LocationKansas City Kidney Consultants, PA4320 Wornall Road, Suite 208, Kansas City, MO 64111

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 10

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

JILL M COAN APRN

Nurse Practitioner (Family)