Wylie Craig De Vera, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2022026486 Issued in MO

Practice address

5501 NW 62ND Ter Ste 100
Kansas City, MO 64151-2412

Phone

(816) 842-4440

Fax

(816) 842-1974

NPI assigned

Oct 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Loma Linda University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clay Platte Family Medicine ClinicGroup PAC ID 3173424231, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Overland Park, KS, CCN 177179
• NKC Health Hospital, North Kansas City, MO, CCN 260096
• Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/032e9fee-d494-4ca3-97ce-b40c8d2eecf6/

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.

• Clay Platte Family Medicine Clinic

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1073570487
  Medicare reassignment Care Compare group NPD
• Clay Platte Family Medicine Clinic

  • Durable Medical Equipment & Medical Supplies
  • Lees Summit, MO
  • NPI 1588138820
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Kansas City Hospital

  • Skilled Nursing Facility
  • North Kansas City, MO
  • NPI 1437103215

  Hospital

  Care Compare affiliation
• North Kansas City Hospital

  • General Acute Care Hospital
  • North Kansas City, MO
  • NPI 1629062799
  Care Compare affiliation
• Saint Luke'S North Hospital

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1942241799
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Overland Park, KS
  • NPI 1710919071
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1033307376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 NW 62ND TER STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512412",
            "telephone_number": "816-842-4440",
            "fax_number": "816-842-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 NW 62ND TER STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512412",
            "telephone_number": "816-842-4440",
            "fax_number": "816-842-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "WYLIE",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301106085",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2022026486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Dayton, PLPC
• Rebecca Rae Dazey, NP-C
• Jacqueline De la Cruz
• Gewel Gacis De Los Santos, M.D.
• Francesco De Luca, M.D.
• Deaconess Long Term Care of Missouri, Inc.
• Deaconess Long Term Care of Missouri, Inc.
• Amanda Drews Deacy, PHD
• Addia Deallie, MD
• Miranda Dean-Denison

• Internal Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.