Individual provider Active NPI

Claire Rebholz, MD

  • Pediatrics Physician
  • North Kansas City, MO
National Provider Identifier
1255918520
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2024029044 Issued in MO
Practice address
2700 Clay Edwards Dr Ste 500
North Kansas City, MO 64116-3263
Phone
(816) 421-4115
Fax
(816) 421-4152
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2024029044 MO Primary

Addresses

Primary practice location

2700 Clay Edwards Dr Ste 500
North Kansas City, MO 64116-3263

Mailing address

9411 N Oak Trfy Ste LL1
Kansas City, MO 64155-2262
Phone (816) 691-1655

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
I20210708002919 MO Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9436551728

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024029044MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Kansas City Hospital Past Accepting new patients
Meritas Health Corporation Single Specialty Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1255918520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY STE LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-691-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR STE 500",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163263",
            "telephone_number": "816-421-4115",
            "fax_number": "816-421-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBHOLZ",
        "first_name": "CLAIRE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2024029044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.