Active NPI
Teresa Diane Long, M.D.
- Internal Medicine Physician
- Kansas City, KS
National Provider Identifier
1043305592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-25118
- Practice address
- 3901 Rainbow Blvd
Department of Psychiatry
Kansas City, KS 66160 - Phone
- (913) 588-6464
- Fax
- (913) 588-6414
- NPI assigned
- Oct 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-25118 | KS | Primary |
| Psychiatry Physician | 2084P0800X | 04-25118 | KS |
Addresses
Primary practice location
3901 Rainbow Blvd
Department of Psychiatry
Kansas City, KS 66160
Mailing address
3901 Rainbow Blvd
4070 Delp Mail Stop 4017
Kansas City, KS 66160
Phone (913) 522-6464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20924044 | Other | MO | BCBS KC |
| 626411 | Other | KS | FIRSTGUARD |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Kansas University Physicians Inc | Psychiatry | Current | Accepting new patients |
| Kansas University Physicians Inc | Current | Accepting new patients |
Locations
3901 Rainbow Blvd
Stop 4017
Kansas City, KS 66160
Phone (913) 588-6670
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
Interoperability endpoints
- tlong8649@direct.kuha.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Psychiatry Physician
- Kansas City, KS
- NPI 1871639799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1043305592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"address_2": "4070 DELP MAIL STOP 4017",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66160",
"telephone_number": "913-522-6464",
"fax_number": "913-588-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66160",
"telephone_number": "913-588-6464",
"fax_number": "913-588-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "TERESA",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-25118",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "04-25118",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "20924044",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "626411",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.