NPIMap

Organization Active NPI

Children's Mercy-Community Choice Pediatrics

  • Pediatrics Physician
  • Lee's Summit, MO
National Provider Identifier
1114540085
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S MERCY-COMMUNITY CHOICE PEDIATRICS
Practice address
1425 NW Blue Pkwy
Lees Summit, MO 64086-5705
Phone
(816) 701-5200
Fax
(816) 302-9939
NPI assigned
May 26, 2020
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Robert D. Finuf II
Title
Senior Vice President
Phone
(816) 701-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1425 NW Blue Pkwy
Lees Summit, MO 64086-5705

Mailing address

2401 Gillham Rd
Provider Enrollment Dept
Kansas City, MO 64108-4619
Phone (816) 701-5201

Other practice location 1

995 SW 34th St
Lees Summit, MO 64082-4093
Phone (816) 524-5600

Other practice location 2

1600 NW South Outer Rd
Blue Springs, MO 64015-2963
Phone (816) 524-5600

Other identifiers 1

IdentifierTypeStateIssuer
500086795MedicaidMO

Other names 1

  • Community Choice Pediatrics - An Affiliate of Children's Mercy Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0443140Children's Mercy-Community Choice Pediatrics, Inc1425 NW Blue Parkway, Lees Summit, MO 64086Certificate of waiverNov 30, 2027
26D2111338Children's Mercy - Community Choice Pediatrics995 SW 34TH St, Lees Summit, MO 64082Certificate of waiverApr 4, 2028
26D2111340Children's Mercy - Community Choice Pediatrics1600 NW South Outer Rd, Blue Springs, MO 64015Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25804/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1114540085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "address_2": "PROVIDER ENROLLMENT DEPT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-701-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865705",
            "telephone_number": "816-701-5200",
            "fax_number": "816-302-9939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 SW 34th St",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640824093",
            "country_code": "US",
            "telephone_number": "816-524-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 NW South Outer Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640152963",
            "country_code": "US",
            "telephone_number": "816-524-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S MERCY-COMMUNITY CHOICE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "FINUF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "816-701-5200",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500086795",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Choice Pediatrics - An Affiliate of Children's Mercy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.