LIVEACTIVE PRIMARY CARE, LLC
NPI 1245686625
Internal Medicine in Overland Park, KS
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
Specialties & Licenses 3
Group Practice 1
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)
Liveactive Primary Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Liveactive Primary Care, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 17D2200017
Live Active Primary Care · Overland Park, KSFrequently 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.
Is Liveactive Primary Care, LLC enrolled in Medicare?
Yes. Liveactive Primary Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Liveactive Primary Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Liveactive Primary Care, LLC. 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 (4), Cardiovascular Disease (Cardiology) (1) and Internal Medicine (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does Liveactive Primary Care, LLC 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 Liveactive Primary Care, LLC 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 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.
# Liveactive Primary Care, Llc · NPI 1245686625
Internal Medicine organization in Overland Park, Kansas. Organization record, active in the CMS NPPES registry since May 4, 2016.
## Identity
- **NPI:** 1245686625 (Entity type: Organization)
- **Enumerated:** May 4, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Haseeb Ahmed, SOLE OWNER
## Practice location
- **Address:** 6650 W 110TH ST STE 220, Overland Park, KS 66211-1501
- **Phone:** (913) 549-3884
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Cardiovascular Disease (Cardiology) (1), Internal Medicine (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245686625) · Data from the CMS NPPES public registry.