Individual provider Active NPI

Christopher Paul Trimble, MD

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1033166384
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
110750 Issued in MO
Practice address
9784 N Ash Ave
Kansas City, MO 64157-9742
Phone
(816) 781-4244
Fax
(816) 781-3542
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 110750 MO Primary

Addresses

Primary practice location

9784 N Ash Ave
Kansas City, MO 64157-9742

Mailing address

9784 N Ash Ave
Kansas City, MO 64157-9742
Phone (816) 781-4244

Other identifiers 1

IdentifierTypeStateIssuer
204666002MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000410 MO Practitioner - Family Practice 4082615893 Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shoal Creek Family Medicine and Allergy, PC Family Medicine Current Accepting new patients
Saint Luke'S Neighborhood Clinics, LLC Past Accepting new patients

Locations

9784 N Ash Ave
Kansas City, MO 64157
Phone (816) 781-4211

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys HospiceKansas City, MO, CCN 261649 Hospice Contracted Managing Employee Jul 14, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1033166384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9784 N ASH AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641579742",
            "telephone_number": "816-781-4244",
            "fax_number": "816-781-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9784 N ASH AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641579742",
            "telephone_number": "816-781-4244",
            "fax_number": "816-781-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "110750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204666002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.