CENTERWELL SENIOR PRIMARY CARE MO PC – NPI #1366922635
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

CENTERWELL SENIOR PRIMARY CARE MO PC is a provider located in KANSAS CITY, MO. NPPES has assigned the NPI number 1366922635 to CENTERWELL SENIOR PRIMARY CARE MO PC on August 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The NPI data also shows multiple names associated with this provider such as CenterWell Senior Primary Care-Bannister Rd and 4 other listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Jan 26, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTERWELL SENIOR PRIMARY CARE MO PC below.

NPI Profile for
CENTERWELL SENIOR PRIMARY CARE MO PC

NPI Number
1366922635
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTERWELL SENIOR PRIMARY CARE MO PC
Other name(s)
All associated names:
Doing Business As (dba)
CenterWell Senior Primary Care-Bannister Rd
Doing Business As (dba)
CenterWell Senior Primary Care-Raytown
Doing Business As (dba)
Partners in Primary Care - Raytown
Former Legal Business Name
Partners in Primary Care MO PC
Former Legal Business Name
Partners in Primary Care NC PC
Primary location
5420 E. BANNISTER ROAD
KANSAS CITY, MO 64137
Phone: (816) 946-6930 Fax: (855) 392-7990
Mailing address
6101 BLUE LAGOON DR STE 200
MIAMI, FL 33126-3168
Phone: (305) 500-2000 Fax:
Organization Subpart
Yes - CENTERWELL SENIOR PRIMARY CARE MO PC is subpart of another organization.
Authorized Official
ANGIE MARTINEZ
SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120
Updated
Certification Date
Jan 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
208D00000X
- General Practice
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.