Active NPI
Charles Ward Van Way III, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Kansas City, MO
National Provider Identifier
1275501595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- R2J85
- Practice address
- 2301 Holmes St
Kansas City, MO 64108 - Phone
- (816) 404-0099
- NPI assigned
- Mar 11, 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | R2J85 | MO | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | R2J85 | MO | Primary |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108
Mailing address
2310 Holmes St
Ste 800
Kansas City, MO 64108-2634
Phone (816) 218-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202651725 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.53 of 100
- Quality
- 59.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- charles.vanway@direct.tmcmed.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1275501595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 HOLMES ST",
"address_2": "STE 800",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082634",
"telephone_number": "816-218-2500",
"fax_number": "816-421-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-404-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN WAY",
"first_name": "CHARLES",
"middle_name": "WARD",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-11",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MO",
"license": "R2J85",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MO",
"license": "R2J85",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202651725",
"state": "MO"
}
],
"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 Mar 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.