Active NPI
Charles L Weinstein, M.D.
- Neurology Physician
- Kansas City, MO
National Provider Identifier
1174565337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- R5981
- Practice address
- 4400 Broadway
Suite 520
Kansas City, MO 64111-3342 - Phone
- (816) 531-4080
- Fax
- (816) 531-0281
- NPI assigned
- Jun 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 04-15070 | KS | |
| Neurology Physician | 2084N0400X | R5981 | MO | Primary |
Addresses
Primary practice location
4400 Broadway
Suite 520
Kansas City, MO 64111-3342
Mailing address
901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 502-7117
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100079260C | Medicaid | KS | |
| 100079260D | Medicaid | KS | |
| 04424005 | Other | BLUE CROSS BLUE SHIELD | |
| 200362622 | Medicaid | MO | |
| 4002039 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-15070 | KS | MD | Neurology Physician |
| R5981 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| SLNC Inc | Neurology | Past | Accepting new patients |
| Neurological Consultants of Kansas City, Inc | Neurology | Past | Accepting new patients |
Locations
2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1174565337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MAILSTOP 400S",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64131",
"telephone_number": "816-502-7117",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BROADWAY",
"address_2": "SUITE 520",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113342",
"telephone_number": "816-531-4080",
"fax_number": "816-531-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "CHARLES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "04-15070",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "R5981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100079260C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100079260D",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "04424005",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200362622",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4002039",
"state": null
}
],
"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 Nov 17, 2017; 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.