Active NPI
Charles Paul Willnauer, M.D.
- Family Medicine Physician
- Overland Park, KS
National Provider Identifier
1083051908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-40040
- 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
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 | 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 04-40040 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Single Specialty | Past | Accepting new patients |
| Liveactive Primary Care, LLC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1245686625
Single Specialty
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.