Organization · Type 2 NPI

Centerwell Senior Primary Care Mo PC

Internal Medicine Physician · Kansas City, MO

NPI number 1366922635 Active

Practice location

5420 E. Bannister Road
Kansas City, MO 64137

Call (816) 946-6930 Map

Fax (855) 392-7990

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician Primary	207R00000X	None listed
General Practice Physician	208D00000X	None listed

Internal Medicine Physician: 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 medi…

Other internal medicine physician providers in Kansas City

See all in Kansas City →

NPI record

NPI: 1366922635
Entity type: Organization (Type 2)
Issued: Aug 16, 2018
Last updated: Jan 26, 2026
Status: Active
Subpart: Yes of Centerwell Senior Primary Care Mo PC

Other names

<unavail>
Centerwell Senior Primary Care-Bannister RD · doing business as
Centerwell Senior Primary Care-Raytown · doing business as
Partners In Primary Care - Raytown · doing business as
Partners In Primary Care Mo PC · former legal business name
Partners In Primary Care Mo PC · former legal business name
Partners In Primary Care NC PC · former legal business name

Authorized official

Angie Martinez
Senior Credentialing Professional
(407) 447-7120

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1366922635

Centerwell Senior Primary Care Mo PC's National Provider Identifier is 1366922635, issued on Aug 16, 2018. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Kansas City, MO. The record was last updated on Jan 26, 2026.