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CENTRAL CARE, PA
NPI 1639778228
Internal Medicine - Medical Oncology in Kansas City, MO

Active since October 23, 2020
1004 CARONDELET DR STE 410, KANSAS CITY, MO 64114(785) 823-0633(833) 734-1556 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Central Care, Pa NPPES

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

CENTRAL CARE, PA (NPI 1639778228), doing business as Central Care Cancer Center, is a healthcare organization registered as a medical oncology in Kansas City, Missouri and active in the NPI registry since October 2020. The organization lists Stacy Cloyd, Provider Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1639778228
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameCENTRAL CARE, PA
Location Address1004 CARONDELET DR STE 410Kansas City, MO 64114-4801
Mailing Address2337 E Crawford StSalina, KS 67401-3713 · (785) 823-0633 · Fax (785) 823-0658
Phone(785) 823-0633
Fax(833) 734-1556
Organization SubpartNo
Authorized OfficialStacy CloydProvider Enrollment Specialist · (785) 823-0633
Enumeration DateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1639778228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
1004 CARONDELET DR STE 410, Kansas City, MO 64114
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Other Names 1

Doing Business AsCentral Care Cancer Center

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Care, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Central Care, PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner5
Hematology/Oncology2
Radiation Oncology2
Medical Oncology1

Clinicians, nearest first (10)

Erin Stilson, APRN
Nurse Practitioner
NPI 1922790534
1600 N 2ND ST
Clinton, MO 64735
(660) 885-5511
✔ PECOS✔ Accepts Medicare60 mi
Claudia Perez-Tamayo, MD
Radiation Oncology
NPI 1366403537
1401 W 12TH AVE
Emporia, KS 66801
(620) 342-1117
✔ PECOS✔ Accepts Medicare91 mi
Jennifer Bushre, APRN, NP
Nurse Practitioner
NPI 1811712623
1501 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-7200
✔ PECOS✔ Accepts Medicare112 mi
Penelope Harris, MD
Hematology/Oncology
NPI 1154389260
1501 N OAKLAND AVE
Bolivar, MO 65613
(173) 267-2004
✔ PECOS✔ Accepts Medicare112 mi
Bethany Martin, FNP-C
Nurse Practitioner
NPI 1750999231
1501 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-7200
✔ PECOS✔ Accepts Medicare112 mi
Bailey Shunyakov, APRN, NP-C
Nurse Practitioner
NPI 1912560038
1501 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-7200
✔ PECOS✔ Accepts Medicare112 mi
Leonid Shunyakov, MD
Hematology/Oncology
NPI 1396709895
1501 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-7200
✔ PECOS✔ Accepts Medicare112 mi
Gina Viser, FNP-C
Nurse Practitioner
NPI 1316495492
1501 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-7200
✔ PECOS✔ Accepts Medicare112 mi
Elshami Elamin, MD
Medical Oncology
NPI 1841254521
730 MEDICAL CENTER DR
Newton, KS 67114
(316) 283-1141
✔ PECOS✔ Accepts Medicare161 mi
Frank Ogbonna, MD/DO
Radiation Oncology
NPI 1013537976
707 E MAIN ST
Middletown, NY 10940
(845) 333-1000
✔ PECOS1,082 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Central Care, PA's NPI number?

The NPI number for Central Care, PA is 1639778228. It was assigned to this organization in the NPPES registry on October 23, 2020. The provider is doing business as Central Care Cancer Center.

Where is Central Care, PA located?

Central Care, PA is located at 1004 Carondelet Dr Ste 410, Kansas City, MO 64114. The listed phone number is (785) 823-0633.

What is Central Care, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Central Care, PA enrolled in Medicare?

Yes. Central Care, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Care, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Central Care, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Hematology/Oncology (2) and Radiation Oncology (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Care, PA was last updated on October 23, 2020. 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.