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

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: October 25, 2026.

Record update history: Sep 1, 2026, May 6, 2022, Jul 14, 2017 (3 updates tracked since 2017).

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, maintains a secondary practice location in Lees Summit, 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, 20223 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
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 NE Missouri Rd Ste 204Lees Summit, MO 64086-4716 · Phone (816) 531-0552 · Fax (816) 756-2503

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 Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kansas City Kidney Consultants, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Kansas City Kidney Consultants, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner15
Nephrology11
Internal Medicine2

Nearest to this location (20)

See all 28
Jill Coan, APRN
Nurse Practitioner
NPI 1043843139
4320 WORNALL RD STE 208
Kansas City, MO 64111
(816) 531-0552
✔ PECOS✔ Accepts MedicareSame address
Ahmed Awad, DO
Internal Medicine
NPI 1740245182
4320 WORNALL RD STE 208
Kansas City, MO 64111
(816) 531-0552
✔ PECOS✔ Accepts MedicareSame address
Karen Tamano, M.D.
Nephrology
NPI 1649215799
4320 WORNALL RD SUITE 208
Kansas City, MO 64111
(816) 531-0552
✔ PECOSSame address
Jim Mertz, MD
Nephrology
NPI 1003871443
4320 WORNALL RD. STE 208
Kansas City, MO 64111
(816) 531-0552
Same address
Jennifer Branch, APRN
Nurse Practitioner
NPI 1316429343
4320 WORNALL RD STE 208
Kansas City, MO 64111
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.1 mi
Brandon Calhoun, DO
Nephrology
NPI 1578091526
4320 WORNALL RD
Kansas City, MO 64111
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.1 mi
Emily Huxford, FNP
Nurse Practitioner
NPI 1780301895
4320 WORNALL RD STE 208
Kansas City, MO 64111
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.1 mi
Munis Mattu, M.D
Nephrology
NPI 1558510172
4320 WORNALL RD STE 304
Kansas City, MO 64111
(816) 932-2836
✔ PECOS✔ Accepts Medicare0.1 mi
Johanna Mccullagh, MD
Nephrology
NPI 1164569661
4320 WORNALL RD SUITE 208
Kansas City, MO 64111
(816) 531-0552
✔ PECOS0.1 mi
Irme Akhtar, MD
Nephrology
NPI 1083891535
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
Kyrstin Alexander, DO
Nephrology
NPI 1174901870
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
Ashley Arrowood, APRN
Nurse Practitioner
NPI 1437807583
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
Gretchen Casper, APRN
Nurse Practitioner
NPI 1285092569
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
Susannah Green, FNP-C
Nurse Practitioner
NPI 1992198550
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
Jazmine Harris
Nurse Practitioner
NPI 1851269385
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
Suzanne James, NP
Nurse Practitioner
NPI 1487187316
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
Emily Johnston, APRN
Nurse Practitioner
NPI 1053794263
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
Ryan Lustig, M.D.
Nephrology
NPI 1124246335
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
Ayesha Malik
Nephrology
NPI 1376155309
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
Susan Woody, D.O.
Nephrology
NPI 1053408484
4601 MADISON AVE STE 300
Kansas City, MO 64112
(816) 531-0552
✔ PECOS✔ Accepts Medicare0.5 mi
See all 28 clinicians

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

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.

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 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.

Where is Kansas City Kidney Consultants, PA located?

Kansas City Kidney Consultants, PA is located at 4320 Wornall Rd Ste 208, Kansas City, MO 64111. The listed phone number is (816) 531-0552.

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.

Is Kansas City Kidney Consultants, PA enrolled in Medicare?

Yes. Kansas City Kidney Consultants, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kansas City Kidney Consultants, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 3 Medicare specialties reassign their Medicare billing to Kansas City Kidney Consultants, PA. 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 (15), Nephrology (11) and Internal Medicine (2). Of these, 4 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kansas City Kidney Consultants, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0679833) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kansas City Kidney Consultants, PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Kansas City Kidney Consultants, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kansas City Kidney Consultants, PA was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.