GRACE WINNINGHAM MD
NPI 1194067637
Pediatrics - Developmental - Behavioral Pediatrics in Kansas City, MO
NPI Status: Active since March 22, 2013
Contact Information
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
Phone: (816) 234-3000
- Individual
- Female
- Pediatrics
- Developmental - Behavioral Pediatrics
- Accepts Insurance
- PECOS Enrolled
About GRACE WINNINGHAM
This page provides the complete NPI Profile along with additional information for Grace Winningham, a pediatrician established in Kansas City, Missouri with a medical specialization in Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1194067637 assigned on March 2013. The practitioner's primary taxonomy code is 2080P0006X with license number 2013020361 (MO). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1194067637
- Provider Name
- GRACE WINNINGHAM MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2401 GILLHAM RD KANSAS CITY, MO 64108
- Location Phone
- (816) 234-3000
- Mailing Address
- 2401 GILLHAM RD PROVIDER ENROLLMENT DEPARTMENT KANSAS CITY, MO 64108
- Mailing Phone
- (816) 234-3000
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-22-2013
- Last Update Date
- 12-02-2025
- Code Navigator
A pediatrician like Grace Winningham is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Developmental - Behavioral Pediatrics
- Taxonomy Code
- 2080P0006X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2013020361
- License State
- MO
- Taxonomy Description
- A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0006X | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0006X (KS) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue KC Catastrophic BlueSelect EPO - EPO
- Blue KC Choice Bronze 2 with Spira Care BlueSelect EPO - EPO
- Blue KC Choice Silver 1 with Spira Care BlueSelect EPO - EPO
- Blue KC Community Silver Preferred-Care Blue EPO - EPO
- Blue KC First Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Bronze BlueSelect EPO - EPO
- Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Gold BlueSelect EPO - EPO
- Blue KC Standard Gold Preferred-Care Blue EPO - EPO
- Blue KC Standard Silver BlueSelect EPO - EPO
- Blue KC Standard Silver Preferred-Care Blue EPO - EPO
- BlueCare EPO Bronze - EPO
- BlueCare EPO Gold - EPO
- BlueCare EPO Gold Plus - EPO
- BlueCare EPO Silver Plus - EPO
- BlueCare EPO Simple Bronze HDHP - EPO
- BlueCare EPO Simple Silver HDHP - EPO
- BlueCare EPO Standardized Expanded Bronze - EPO
- BlueCare EPO Standardized Gold - EPO
- BlueCare EPO Standardized Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Grace Winningham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194067637, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194067637, enumerated as an "individual" on March 22, 2013.
The provider is located at 2401 GILLHAM RD KANSAS CITY, MO 64108 and the phone number is (816) 234-3000.
Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City and Blue. Please consult your insurance carrier or call the provider to verify.
