Individual provider Active NPI

Wesley Goodrich, DO, MPH

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1194304600
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023014387 Issued in MO
Practice address
7900 Lees Summit Rd
Kansas City, MO 64139-1246
Phone
(816) 404-4862
Fax
(816) 404-7716
NPI assigned
Apr 3, 2021
Last updated
May 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MO
Family Medicine Physician 207Q00000X 2023014387 MO Primary

Addresses

Primary practice location

7900 Lees Summit Rd
Kansas City, MO 64139-1246

Mailing address

7900 Lees Summit Rd
Kansas City, MO 64139-1246
Phone (816) 404-4862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909000202 KS Practitioner - Family Practice 5799143319 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (316) 804-6005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Healthcare Corporation CurrentSince Aug 12, 2024 Accepting new patients
William Newton Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Newton Healthcare Corporation CurrentSince Aug 12, 2024 Accepting new patients
William Newton Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Apogee Medical Group Kansas PA CurrentSince Oct 1, 2025 Accepting new patients
Newton Healthcare Corporation Family Medicine Current Accepting new patients
Newton Healthcare Corporation Past Accepting new patients

Locations

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

641 N Seneca St
Valley Center, KS 67147
Phone (316) 755-1511

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

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 6

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": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1194304600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 LEES SUMMIT RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641391246",
            "telephone_number": "816-404-4862",
            "fax_number": "816-404-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 LEES SUMMIT RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641391246",
            "telephone_number": "816-404-4862",
            "fax_number": "816-404-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "WESLEY",
        "credential": "DO, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-03",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023014387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.