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SAMUEL ALBERTO MORENO WYNTER M.D.
NPI 1457105165
Student in an Organized Health Care Education/Training Program in Kansas City, KS

Active since April 17, 2024PECOS Enrolled
3901 RAINBOW BLVD., KANSAS CITY, KS 66160(913) 945-7072 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2024, Jul 26, 2024, Apr 17, 2024 (3 updates tracked since 2024).

About Samuel Alberto Moreno Wynter M.d. NPPES

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

SAMUEL ALBERTO MORENO WYNTER M.D. (NPI 1457105165) is an individual student in an organized health care education/training program in Kansas City, Kansas and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457105165
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL ALBERTO MORENO WYNTERCredential: M.D.
Location Address3901 RAINBOW BLVD.Kansas City, KS 66160
Mailing Address3901 Rainbow Blvd.Kansas City, KS 66160
Phone(913) 945-7072
Sole ProprietorNo
Enumeration DateApril 17, 2024
Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1457105165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3901 RAINBOW BLVD., Kansas City, KS 66160
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Alberto Moreno Wynter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MONICA F KURYLO PH.D.
Psychologist (Clinical)
3901 RAINBOW BLVD.
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6400
G. W. ATKINSON M.D.
Internal Medicine
3901 RAINBOW BLVD., DEPT OF INTERNAL MED
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6000
CHARESE ERIN DONOVAN DAKHIL MD
Anesthesiology
3901 RAINBOW BLVD., MS 1034
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6670
DR. J. BRANTLEY THRASHER MD
Urology
3901 RAINBOW BLVD., DEPT. OF UROLOGY, MAIL STOP 3016
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6152
DR. JOHN W WEIGEL MD
Urology
3901 RAINBOW BLVD., DEPT. OF UROLOGY, MAIL STOP 3016
KANSAS CITY, KS 66160
Wyandotte County (913) 588-0799
DR. LORI SPOOZAK M.D.
Obstetrics & Gynecology (Gynecology)
3901 RAINBOW BLVD., UNIVERSITY OF KANSAS MEDICAL CENTER
KANSAS CITY, KS 66160
Wyandotte County (212) 305-2323
DR. JEFFREY M HOLZBEIERLEIN MD
Urology
3901 RAINBOW BLVD., DEPT. OF UROLOGY, MAIL STOP 3016
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6147
DR. TOMAS L GRIEBLING MD
Urology
3901 RAINBOW BLVD., DEPT. OF UROLOGY, MAIL STOP 3016
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6147

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 Moreno Wynter's NPI number?

The NPI number for Samuel Moreno Wynter is 1457105165. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Samuel Moreno Wynter located?

Samuel Moreno Wynter practices at 3901 Rainbow Blvd., Kansas City, KS 66160. The listed phone number is (913) 945-7072.

What is Samuel Moreno Wynter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Moreno Wynter enrolled in Medicare?

Yes. Samuel Moreno Wynter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Moreno Wynter was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.