Individual provider Active NPI

Tamara E Crowell, DO

  • Internal Medicine Physician
  • Independence, MO
National Provider Identifier
1215921804
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
102565 Issued in MO
Practice address
19550 E 39TH St S
Independence, MO 64057-2358
Phone
(816) 350-0005
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 102565 MO Primary

Addresses

Primary practice location

19550 E 39TH St S
Independence, MO 64057-2358

Mailing address

4121 SW Leeward Dr
Lees Summit, MO 64082-4788
Phone (816) 350-0005

Other practice location 1

4121 SW Leeward Dr
Lees Summit, MO 64082-4788
Phone (816) 350-0005

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000583 MO Practitioner - Internal Medicine 1355394503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19600 E 39TH St
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 698-8150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102565MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Crowell Internal Medicine PC Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Centerpoint Medical Center of Independence, LLC Past Accepting new patients
Independence Regional Medical Group LLC Past Accepting new patients
Grandview Health Care Clinic LLC Internal Medicine Past Accepting new patients

Locations

810 E Walnut St
Independence, MO 64050
Phone (816) 460-9600

1800 S Swope Dr
Independence, MO 64057
Phone (816) 257-2566

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

19550 E 39th St S
Independence, MO 64057
Phone (816) 478-2600

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

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.

Hospital & facility affiliations 2

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1215921804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 SW LEEWARD DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824788",
            "telephone_number": "816-350-0005",
            "fax_number": "913-851-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "816-350-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4121 SW Leeward Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640824788",
            "country_code": "US",
            "telephone_number": "816-350-0005",
            "fax_number": "913-851-7785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "TAMARA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "102565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.