Individual provider Active NPI

Kevin Treffer, D.O.

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1215976972
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO R9H25 Issued in MO
Practice address
1010 Carondelet Dr
Suite #220
Kansas City, MO 64114-4859
Phone
(816) 941-1600
Fax
(816) 941-1699
NPI assigned
Jun 6, 2006
Last updated
Sep 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO R9H25 MO Primary

Addresses

Primary practice location

1010 Carondelet Dr
Suite #220
Kansas City, MO 64114-4859

Mailing address

1010 Carondelet Dr
Suite #220
Kansas City, MO 64114-4859
Phone (816) 941-1600

Other identifiers 2

IdentifierTypeStateIssuer
010027364OtherMORAILROAD MEDICARE
242553709MedicaidMO

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
I20100329001053 MO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1153457130 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO R9H25MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goppert - Trinity Family Care, LLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Serafini Medical, P.C. Family Medicine PastSince Oct 20, 2014 Accepting new patients
Midwest Psychiatric Consultants, P.C. PastSince Apr 20, 1998 Accepting new patients
Midwest Heart & Vascular Specialists, LLC PastSince Jan 3, 2023 Accepting new patients

Locations

6675 Holmes Rd
Ste 360
Kansas City, MO 64131
Phone (816) 276-7650

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1215976972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE #220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-941-1600",
            "fax_number": "816-941-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE #220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-941-1600",
            "fax_number": "816-941-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREFFER",
        "first_name": "KEVIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DO R9H25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010027364",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242553709",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.