LIBERTY HOSPITAL PRIMARY CARE SHOAL CREEK
NPI 1821518630
Family Medicine in Kansas City, MO

Active since June 22, 2017CLIA 26D2137198 · Waiver
8380 N TULLIS AVE, SUITE 300, KANSAS CITY, MO 64158(816) 415-3451 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2018, Jul 12, 2017, Jun 22, 2017 (3 updates tracked since 2017).

About Liberty Hospital Primary Care Shoal Creek NPPES

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

LIBERTY HOSPITAL PRIMARY CARE SHOAL CREEK (NPI 1821518630) is a healthcare organization registered as a family medicine in Kansas City, Missouri and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists David Feess, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1821518630
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEW LIBERTY HOSPITAL COPORATION
Location Address8380 N TULLIS AVE, SUITE 300Kansas City, MO 64158
Mailing AddressPo Box 219672Kansas City, MO 64121-9672 · (816) 407-4555
Organization SubpartNo
Authorized OfficialDavid FeessPresident And Ceo · (816) 781-7200
Enumeration DateJune 22, 2017
Last NPPES UpdateApril 19, 20183 updates tracked since enumeration
NPI 1821518630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
8380 N TULLIS AVE, Kansas City, MO 64158

Other Names 1

Doing Business AsLiberty Hospital Primary Care Shoal Creek

Other Identifiers 1

Other57333017MO · Bcbs

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

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 26D2137198

Liberty Hospital Primary Care Shoal Creek Clinic · Kansas City, MO
Active · expires Sep 20, 2027
CLIA Number26D2137198
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorChakshu Gupta
Laboratory Phone(816) 781-7730
Laboratory LocationLiberty Hospital Primary Care Shoal Creek Clinic8380 N Tullis, Ste 300, Kansas City, MO 64158
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Dermatology
8380 N TULLIS AVE
KANSAS CITY, MO 64158
Family Medicine
8380 N TULLIS AVE, STE 300
KANSAS CITY, MO 64158
Family Medicine
8380 N TULLIS AVE, STE 300
KANSAS CITY, MO 64158
Nurse Practitioner (Family)
8380 N TULLIS AVE, STE 300
KANSAS CITY, MO 64158

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 New Liberty Hospital Coporation's NPI number?

The NPI number for New Liberty Hospital Coporation is 1821518630. It was assigned to this organization in the NPPES registry on June 22, 2017. The provider is doing business as Liberty Hospital Primary Care Shoal Creek.

Where is New Liberty Hospital Coporation located?

New Liberty Hospital Coporation is located at 8380 N Tullis Ave Suite 300, Kansas City, MO 64158. The listed phone number is (816) 415-3451.

What is New Liberty Hospital Coporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does New Liberty Hospital Coporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2137198) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does New Liberty Hospital Coporation accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list New Liberty Hospital Coporation 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 New Liberty Hospital Coporation was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.