CENTERWELL SENIOR PRIMARY CARE -GRANDVIEW
NPI 1538712724
Family Medicine in Grandview, MO

NPI Status: Active since July 17, 2019

Contact Information

1513 MAIN ST
GRANDVIEW, MO
ZIP 64030
Phone: (816) 731-1890
Fax: (833) 996-1159

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  • Organization
  • Family Medicine
  • CLIA Number: 26D2171042
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-25-2027

About CENTERWELL SENIOR PRIMARY CARE -GRANDVIEW

This page provides the complete NPI Profile along with additional information for Centerwell Senior Primary Care -grandview, a primary care provider established in Grandview, Missouri operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1538712724 assigned on July 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Centerwell Senior Primary Care -grandview operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Centerwell Senior Primary Care -grandview. The authorized official of this NPI record is Angie Martinez (Senior Credentialing Professional)

NPI
1538712724
Provider Legal Name
CENTERWELL SENIOR PRIMARY CARE (MO) PC
Other Organization Name
CENTERWELL SENIOR PRIMARY CARE -GRANDVIEW
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1513 MAIN ST GRANDVIEW, MO 64030
Location Phone
(816) 731-1890
Location Fax
(833) 996-1159
Mailing Address
6101 BLUE LAGOON DR STE 200 MIAMI, FL 33126
Mailing Phone
(305) 500-2000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-17-2019
Last Update Date
08-19-2024
Code Navigator

A primary care provider (PCP) like Centerwell Senior Primary Care -grandview sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2208D00000XAllopathic & Osteopathic Physicians

General Practice

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGIE MARTINEZ

Authorized Official Title
SENIOR CREDENTIALING PROFESSIONAL
Authorized Official Phone
(407) 447-7120

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2171042
Facility Type
Physician Office
Certificate Effective Date
August 26, 2025
Certificate Expiration Date
August 25, 2027
Laboratory Director
DR. STEPHANIE IKEME
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centerwell Senior Primary Care -grandview to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538712724, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 1 + 4 + 1 + 4 + 7 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1538712724.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner
1513 MAIN ST
GRANDVIEW, MO 64030
Nurse Practitioner (Family)
1513 MAIN ST
GRANDVIEW, MO 64030
Internal Medicine
1513 MAIN ST
GRANDVIEW, MO 64030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538712724, enumerated as an "organization" on July 17, 2019.

The provider is located at 1513 MAIN ST GRANDVIEW, MO 64030 and the phone number is (816) 731-1890.

Family Medicine with taxonomy code 207Q00000X.