Active NPI
Raul Angel Garcia, DO
- Internal Medicine Physician
- Kansas City, MO
National Provider Identifier
1083100895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2500063290
- Practice address
- 4401 Wornall Rd
Kansas City, MO 64111-3220 - Phone
- (816) 932-1000
- NPI assigned
- Jul 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MB10410100 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 2500063290 | MO | Primary |
Addresses
Primary practice location
4401 Wornall Rd
Kansas City, MO 64111-3220
Mailing address
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-2000
Other practice location 1
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5420
Other practice location 2
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000
Other practice location 3
655 E Jersey St
Elizabeth, NJ 07206-1259
Phone (908) 994-5030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250726000116 | OH | Order and Referring Only - Internal Medicine | 2062751316 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2500063290 | MO | MD | Internal Medicine Physician |
Interoperability endpoints
- rgarcia388595@direct.saint-lukes.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1083100895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 WORNALL RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113220",
"telephone_number": "816-932-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 WORNALL RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113220",
"telephone_number": "816-932-1000"
}
],
"practiceLocations": [
{
"address_1": "225 Williamson St",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072023625",
"country_code": "US",
"telephone_number": "908-994-5420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 Brunswick Ave",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "NJ",
"postal_code": "086384143",
"country_code": "US",
"telephone_number": "609-394-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 E Jersey St",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072061259",
"country_code": "US",
"telephone_number": "908-994-5030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "RAUL",
"middle_name": "ANGEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-04",
"last_updated": "2020-08-27",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB10410100",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2500063290",
"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 Aug 27, 2020; 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.