JOHN SALLIS PA-C
NPI 1417038688
Physician Assistant - Medical in Kansas City, MO

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
3801 BLUE PKWY, KANSAS CITY, MO 64130(816) 922-7645 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Sallis Pa-c NPPES

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

JOHN SALLIS PA-C (NPI 1417038688) is an individual medical provider in Kansas City, Missouri, licensed in Missouri (2002011268) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1417038688
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN SALLISCredential: PA-C
Location Address3801 BLUE PKWYKansas City, MO 64130-2807
Mailing Address3811 Blue ParkwayKanss City, MO 64130-2807
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417038688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MO · 2002011268
3801 BLUE PKWY, Kansas City, MO 64130

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Sallis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103098652
PECOS Enrollment IDI20120419000607
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
3801 BLUE PKWY
KANSAS CITY, MO 64130
Internal Medicine
3801 BLUE PKWY
KANSAS CITY, MO 64130
Dentist (Dental Public Health)
3801 BLUE PKWY
KANSAS CITY, MO 64130
Nurse Practitioner (Family)
3801 BLUE PKWY
KANSAS CITY, MO 64130
Family Medicine
3801 BLUE PKWY
KANSAS CITY, MO 64130
Pediatrics
3801 BLUE PKWY
KANSAS CITY, MO 64130
Obstetrics & Gynecology
3801 BLUE PKWY
KANSAS CITY, MO 64130
Dentist (Dental Public Health)
3801 BLUE PKWY
KANSAS CITY, MO 64130

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 John Sallis's NPI number?

The NPI number for John Sallis is 1417038688. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is John Sallis located?

John Sallis practices at 3801 Blue Pkwy, Kansas City, MO 64130. The listed phone number is (816) 922-7645.

What is John Sallis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is John Sallis enrolled in Medicare?

Yes. John Sallis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Sallis accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list John Sallis 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 John Sallis was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.