Individual provider Active NPI

Charles Paul Willnauer, M.D.

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1083051908
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-40040 Issued in KS
Practice address
7199 W 98TH Ter Ste 110
Overland Park, KS 66212-6162
Phone
(913) 948-7652
Fax
(913) 273-2474
NPI assigned
Jun 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 04-40040 KS Primary

Addresses

Primary practice location

7199 W 98TH Ter Ste 110
Overland Park, KS 66212-6162

Mailing address

7199 W 98TH Ter Ste 110
Overland Park, KS 66212-6162
Phone (913) 948-7652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-40040KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Single Specialty Past Accepting new patients
Liveactive Primary Care, LLC Single Specialty PastSince Jul 14, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.willnauer@direct.myteamcare.com

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": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1083051908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7199 W 98TH TER STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662126162",
            "telephone_number": "913-948-7652",
            "fax_number": "913-273-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7199 W 98TH TER STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662126162",
            "telephone_number": "913-948-7652",
            "fax_number": "913-273-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLNAUER",
        "first_name": "CHARLES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-01",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-40040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.