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CENTERWELL SENIOR PRIMARY CARE (MO) PC
NPI 1518787076
Internal Medicine in Kansas City, MO

Active since October 10, 2024CLIA 26D2264009 · Waiver
4400 E 39TH ST, KANSAS CITY, MO 64128(816) 791-7177(816) 791-7190 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centerwell Senior Primary Care (mo) Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE (MO) PC (NPI 1518787076), doing business as Centerwell Senior Primary Care - Seven Oaks, is a healthcare organization registered as an internal medicine in Kansas City, Missouri and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1518787076
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (MO) PC
Location Address4400 E 39TH STKansas City, MO 64128-2818
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Phone(816) 791-7177
Fax(816) 791-7190
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateOctober 10, 2024
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1518787076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
4400 E 39TH ST, Kansas City, MO 64128
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care - Seven Oaks

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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 of Waiver 26D2264009

Centerwell Senior Primary Care (mo), PC - Seven Oaks · Kansas City, MO
Active · expires Jul 7, 2028
CLIA Number26D2264009
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorJulie Nguyen
Laboratory Phone(305) 842-3910
Laboratory LocationCenterwell Senior Primary Care (mo), PC - Seven Oaks4400 E 39th St, Kansas City, MO 64128
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DEDICATED MISSOURI HOLDING, LLC
Non-Pharmacy Dispensing Site
4400 E 39TH ST
KANSAS CITY, MO 64128
Jackson County (816) 791-7177
DR. ANTHONY JOSEPH HEALY M.D.
Family Medicine
4400 E 39TH ST
KANSAS CITY, MO 64128
Jackson County (816) 791-7177
MRS. TAKEDRIA MINGO-BERRY FNP-BC
Nurse Practitioner (Family)
4400 E 39TH ST
KANSAS CITY, MO 64128
Jackson County (816) 791-7177
MS. POOVIZHI SELVI VELMURUGAN MSN-NP-C
Nurse Practitioner (Family)
4400 E 39TH ST
KANSAS CITY, MO 64128
Jackson County (816) 791-7177
DR. JOEL EDWARD MEYER M.D.
Family Medicine
4400 E 39TH ST
KANSAS CITY, MO 64128
Jackson County (816) 791-7177

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 Centerwell Senior Primary Care (mo) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (mo) PC is 1518787076. It was assigned to this organization in the NPPES registry on October 10, 2024. The provider is doing business as CenterWell Senior Primary Care - Seven Oaks.

Where is Centerwell Senior Primary Care (mo) PC located?

Centerwell Senior Primary Care (mo) PC is located at 4400 E 39th St, Kansas City, MO 64128. The listed phone number is (816) 791-7177.

What is Centerwell Senior Primary Care (mo) PC's specialty?

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

Does Centerwell Senior Primary Care (mo) PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2264009) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centerwell Senior Primary Care (mo) PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Centerwell Senior Primary Care (mo) 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 Centerwell Senior Primary Care (mo) PC was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.