Active NPI
Christopher Paul Trimble, MD
- Family Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 110750
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204666002 | Medicaid | MO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Amedisys Hospice | 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.
-
- Community Based Hospice Care Agency
- Kansas City, MO
- NPI 1457646523
Contracted Managing Employee
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.
-
- Family Medicine Physician
- Kearney, MO
- NPI 1720183346
-
- Diagnostic Radiology Physician
- Overland Park, KS
- NPI 1346783008
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.