SAMUEL U. RODGERS HEALTH CENTER CHOUTEAU ELEMENTARY
NPI 1194216259
Clinic/Center - Federally Qualified Health Center (FQHC) in Kansas City, MO

Active since May 24, 2018
3701 N JACKSON AVE, KANSAS CITY, MO 64117(816) 321-5053 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, May 24, 2018 (3 updates tracked since 2018).

About Samuel U. Rodgers Health Center Chouteau Elementary NPPES

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

SAMUEL U. RODGERS HEALTH CENTER CHOUTEAU ELEMENTARY (NPI 1194216259) is a healthcare organization registered as a federally qualified health center (fqhc) in Kansas City, Missouri and active in the NPI registry since May 2018. The organization lists Robert Theis, Acting Ceo, as its authorized official.

NPPES Registry Identity

NPI1194216259
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSAMUEL U. RODGERS HEALTH CENTER, INC
Location Address3701 N JACKSON AVEKansas City, MO 64117
Mailing Address825 Euclid Ave # Q112764Kansas City, MO 64124-2323 · (816) 474-4920
Organization SubpartNo
Authorized OfficialRobert TheisActing Ceo · (816) 474-4920
Enumeration DateMay 24, 2018
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1194216259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
3701 N JACKSON AVE, Kansas City, MO 64117

Other Names 1

Other NameSamuel U. Rodgers Health Center Chouteau Elementary

Accepted 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)

Samuel U. Rodgers Health Center Chouteau Elementary is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

78

Medicare enrollment records show 78 clinicians reassign Medicare billing to Samuel U. Rodgers Health Center Chouteau Elementary, which bills Medicare for the services they deliver. Of these, 52 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner31
Dentist10
Clinical Social Worker7
Family Practice6
Oral Surgery5
Pediatric Medicine4
Clinical Psychologist3
Certified Nurse Midwife (CNM)2
8 other specialties10

Nearest to this location (20)

See all 78
Hospitalist
NPI 1417390956
2700 CLAY EDWARDS DR STE 240
North Kansas City, MO 64116
(816) 455-0681
✔ PECOS✔ Accepts Medicare1.3 mi
Hospitalist
NPI 1801278627
2800 CLAY EDWARDS DR
North Kansas City, MO 64116
(816) 968-9320
✔ PECOS1.3 mi
Nurse Practitioner
NPI 1285408674
2900 NE 60TH ST STE 100
Gladstone, MO 64119
(816) 453-6000
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1366226797
825 EUCLID AVE
Kansas City, MO 64124
(816) 889-4832
✔ PECOS✔ Accepts Medicare4.1 mi
Oral Surgery
NPI 1942515069
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.1 mi
Dentist
NPI 1588643381
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.1 mi
Clinical Social Worker
NPI 1679380885
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.1 mi
Psychiatry
NPI 1881987071
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS✔ Accepts Medicare4.1 mi
Clinical Social Worker
NPI 1831103225
825 EUCLID AVENUE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1982488292
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.1 mi
Certified Nurse Midwife (CNM)
NPI 1750190856
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1659102283
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.1 mi
Emergency Medicine
NPI 1487612594
825 EUCLID AVE
Kansas City, MO 64124
(816) 889-4874
✔ PECOS4.2 mi
Oral Surgery
NPI 1831104579
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.2 mi
Oral Surgery
NPI 1093036097
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.2 mi
Dentist
NPI 1275100653
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.2 mi
Oral Surgery
NPI 1073779633
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.2 mi
Dentist
NPI 1639862303
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.2 mi
825 EUCLID
Kansas City, MO 64124
(816) 474-4920
✔ PECOS4.2 mi
Clinical Social Worker
NPI 1508366626
825 EUCLID AVE
Kansas City, MO 64124
(816) 474-4920
✔ PECOS✔ Accepts Medicare4.2 mi
See all 78 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 Samuel U. Rodgers Health Center, Inc's NPI number?

The NPI number for Samuel U. Rodgers Health Center, Inc is 1194216259. It was assigned to this organization in the NPPES registry on May 24, 2018. The provider is also known as Samuel U. Rodgers Health Center Chouteau Elementary.

Where is Samuel U. Rodgers Health Center, Inc located?

Samuel U. Rodgers Health Center, Inc is located at 3701 N Jackson Ave, Kansas City, MO 64117. The listed phone number is (816) 321-5053.

What is Samuel U. Rodgers Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Samuel U. Rodgers Health Center, Inc enrolled in Medicare?

Yes. Samuel U. Rodgers Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samuel U. Rodgers Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 16 Medicare specialties reassign their Medicare billing to Samuel U. Rodgers Health Center, Inc. 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 (31), Dentist (10) and Clinical Social Worker (7). Of these, 52 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Samuel U. Rodgers Health Center, Inc 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 1 other insurer list Samuel U. Rodgers Health Center, Inc 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 Samuel U. Rodgers Health Center, Inc was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.