Active NPI
Mary Rauth-Farley
- Pediatrics Physician
- Kansas City, MO
National Provider Identifier
1033520291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R1C65
- Practice address
- 5746 N Broadway St
Kansas City, MO 64118-3998 - Phone
- (816) 912-5439
- Fax
- (855) 813-6442
- NPI assigned
- May 9, 2014
- Last updated
- Nov 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0430385 | KS | |
| Family Medicine Physician | 207Q00000X | R1C65 | MO | |
| Pediatrics Physician | 208000000X | 0430385 | KS | |
| Pediatrics Physician | 208000000X | R1C65 | MO | Primary |
Addresses
Primary practice location
5746 N Broadway St
Kansas City, MO 64118-3998
Mailing address
PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0430385 | KS | MD | Pediatrics Physician |
| R1C65 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Vpa PC | Family Medicine | Past | Accepting new patients |
Locations
9393 W 110th St
Ste 500
Overland Park, KS 66210
Phone (573) 234-1800
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1033520291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "TROY",
"state": "MI",
"postal_code": "480991239",
"telephone_number": "248-824-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5746 N BROADWAY ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641183998",
"telephone_number": "816-912-5439",
"fax_number": "855-813-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUTH-FARLEY",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-09",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0430385",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R1C65",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "0430385",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R1C65",
"primary": true
}
],
"identifiers": [],
"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 3, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.