MIDTOWN FAMILY MEDICINE PC
NPI 1376784835
Family Medicine in Kansas City, MO

Active since March 13, 2009CLIA 26D1012019 · Microscopy
3406 BROADWAY BLVD STE B, KANSAS CITY, MO 64111(816) 756-5839(816) 756-5874 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Midtown Family Medicine Pc NPPES

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

MIDTOWN FAMILY MEDICINE PC (NPI 1376784835) is a healthcare organization registered as a family medicine in Kansas City, Missouri and active in the NPI registry since March 2009. The organization holds a CLIA Microscopy certificate valid through May 12, 2027 and lists Susan Diebold, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1376784835
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIDTOWN FAMILY MEDICINE PC
Location Address3406 BROADWAY BLVD STE BKansas City, MO 64111-2767
Mailing Address3406 Broadway Blvd Ste BKansas City, MO 64111-2767 · (816) 756-5839 · Fax (816) 756-5874
Fax(816) 756-5874
Organization SubpartNo
Authorized OfficialSusan DieboldOffice Manager · (816) 756-5839
Enumeration DateMarch 13, 2009
Last NPPES UpdateApril 14, 2021
NPPES CertifiedDecember 14, 2020
NPI 1376784835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 36683
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3406 BROADWAY BLVD STE B, Kansas City, MO 64111

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

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 26D1012019

Midtown Family Medicine, PC · Kansas City, MO
Active · expires May 12, 2027
CLIA Number26D1012019
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorGary Thompson
Laboratory Phone(816) 756-5839
Laboratory LocationMidtown Family Medicine, PC3406 Broadway, Suite B, Kansas City, MO 64111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

Physician Assistant
3406 BROADWAY BLVD STE B
KANSAS CITY, MO 64111
Nurse Practitioner (Family)
3406 BROADWAY BLVD STE B
KANSAS CITY, MO 64111
Internal Medicine (Cardiovascular Disease)
3406 BROADWAY BLVD STE B
KANSAS CITY, MO 64111
Physician Assistant
3406 BROADWAY BLVD STE B
KANSAS CITY, MO 64111
Internal Medicine
3406 BROADWAY BLVD STE B
KANSAS CITY, MO 64111
Family Medicine
3406 BROADWAY BLVD STE B
KANSAS CITY, MO 64111
Nurse Practitioner (Family)
3406 BROADWAY BLVD STE B
KANSAS CITY, MO 64111
Nurse Practitioner (Adult Health)
3406 BROADWAY BLVD STE B
KANSAS CITY, MO 64111

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 Midtown Family Medicine PC's NPI number?

The NPI number for Midtown Family Medicine PC is 1376784835. It was assigned to this organization in the NPPES registry on March 13, 2009.

Where is Midtown Family Medicine PC located?

Midtown Family Medicine PC is located at 3406 Broadway Blvd Ste B, Kansas City, MO 64111. The listed phone number is (816) 756-5839.

What is Midtown Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Midtown Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D1012019) is associated with this NPI, valid through May 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midtown Family Medicine PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Midtown Family Medicine PC 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 Midtown Family Medicine PC was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.