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LIVEACTIVE PRIMARY CARE, LLC
NPI 1245686625
Internal Medicine in Overland Park, KS

Active since May 04, 2016CLIA 17D2200017 · Waiver
6650 W 110TH ST STE 220, OVERLAND PARK, KS 66211(913) 549-3884 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2021, Nov 12, 2021, Nov 9, 2020 (3 updates tracked since 2020).

About Liveactive Primary Care, Llc NPPES

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

LIVEACTIVE PRIMARY CARE, LLC (NPI 1245686625) is a healthcare organization registered as an internal medicine in Overland Park, Kansas and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Haseeb A Ahmed, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1245686625
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIVEACTIVE PRIMARY CARE, LLC
Location Address6650 W 110TH ST STE 220Overland Park, KS 66211-1501
Mailing Address7111 W 151st St Ste 303Overland Park, KS 66223-2231 · (913) 549-3884
Phone(913) 549-3884
Organization SubpartNo
Authorized OfficialHaseeb A AhmedSole Owner · (913) 549-3884
Enumeration DateMay 4, 2016
Last NPPES UpdateNovember 17, 20213 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1245686625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedHospitalistTaxonomy 208M00000X
6650 W 110TH ST STE 220, Overland Park, KS 66211
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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

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 17D2200017

Live Active Primary Care · Overland Park, KS
Active · expires Nov 11, 2026
CLIA Number17D2200017
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorHaseeb A. Ahmed
Laboratory Phone(913) 549-3884
Laboratory LocationLive Active Primary Care6650 W 110th Street, Suite 220, Overland Park, KS 66223
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MARIAN LOUISE PHELPS FNP-BC
Nurse Practitioner (Family)
6650 W 110TH ST STE 220
OVERLAND PARK, KS 66211
Johnson County (913) 549-3884
HEATHER MARIE JENNINGS RN, DIETITIAN
Dietitian, Registered
6650 W 110TH ST STE 220
OVERLAND PARK, KS 66211
Johnson County (913) 549-3884
DR. HASEEB ABDUL AHMED DO
Internal Medicine
6650 W 110TH ST STE 220
OVERLAND PARK, KS 66211
Johnson County (913) 549-3884

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 Liveactive Primary Care, LLC's NPI number?

The NPI number for Liveactive Primary Care, LLC is 1245686625. It was assigned to this organization in the NPPES registry on May 4, 2016.

Where is Liveactive Primary Care, LLC located?

Liveactive Primary Care, LLC is located at 6650 W 110th St Ste 220, Overland Park, KS 66211. The listed phone number is (913) 549-3884.

What is Liveactive Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Liveactive Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2200017) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liveactive Primary Care, LLC was last updated on November 17, 2021. 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.