NPIMap

Individual provider Active NPI

Lancer Gentry Gates, D.O.

  • Internal Medicine Physician
  • North Kansas City, MO
National Provider Identifier
1083611941
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2000174342 Issued in MO
Practice address
2750 Clay Edwards Dr Ste 200a
North Kansas City, MO 64116-3237
Phone
(816) 968-9320
NPI assigned
Jul 6, 2005
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2000174342 MO Primary

Addresses

Primary practice location

2750 Clay Edwards Dr Ste 200a
North Kansas City, MO 64116-3237

Mailing address

2750 Clay Edwards Dr Ste 200a
N Kansas City, MO 64116-3237
Phone (816) 968-9320

Other identifiers 4

IdentifierTypeStateIssuer
245309117MedicaidMO
5400729OtherMOAETNA
200304460AMedicaidKS
28043027OtherMOBLUE SHIELD KANSAS CITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000517 MO Practitioner - HospitalistPractitioner - Internal Medicine 9234035007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll County Memorial HospitalGroup PAC ID 2860485638, 64 clinicians
Excelsior Springs City HospitalGroup PAC ID 7315847209, shared by 5 NPIs, 39 clinicians
Gates Hospitalists LLCGroup PAC ID 1759287527, 9 clinicians

Practice addresses (Care Compare)

1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-1695

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 630-6081

2750 Clay Edwards Dr
200A
N Kansas City, MO 64116-3237
Phone (877) 840-6992

2750 Clay Edwards Dr
Suite 200a
North Kansas City, MO 64116-3277

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Springs City Hospital CurrentSince Mar 1, 2026 Accepting new patients
Excelsior Springs City Hospital CurrentSince Mar 1, 2026 Accepting new patients
Gates Hospitalists LLC Internal Medicine CurrentSince Dec 1, 2002 Accepting new patients
Hudson MD Group Internal Medicine Past Accepting new patients
Carroll County Memorial Hospital Past Accepting new patients
New Liberty Hospital Corporation Past Accepting new patients
North Kansas City Hospital Past Accepting new patients

Locations

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

2750 Clay Edwards Dr
Ste 200A
North Kansas City, MO 64116
Phone (816) 691-2000

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1083611941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 200A",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "816-968-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 200A",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "816-968-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "LANCER",
        "middle_name": "GENTRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2000174342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245309117",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5400729",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200304460A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD KANSAS CITY",
            "identifier": "28043027",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.