NPIMap

Organization Active NPI

Cardiorenal Vision of Missouri LLC

  • Cardiovascular Disease Physician
  • Kansas City, MO
National Provider Identifier
1285529289
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIORENAL VISION OF MISSOURI LLC
Practice address
3406 Broadway Blvd Ste B
Kansas City, MO 64111-2767
Phone
(214) 272-2774
NPI assigned
Jun 10, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Junaid Ahmed, M.D.NPI 1376830109
Title
Managing Member
Phone
(773) 276-2655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3406 Broadway Blvd Ste B
Kansas City, MO 64111-2767

Mailing address

PO Box 516
Oregon, IL 61061-0516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250917000984 MO Part B Supplier - Clinic/Group Practice 4789188442 Receives reassigned benefits from 4 practitioners
Practice locations: Kansas City, MO
O20251024001505 KS Part B Supplier - Clinic/Group Practice 4789188442 Receives reassigned benefits from 3 practitioners
Practice locations: Leawood, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1285529289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610610516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 BROADWAY BLVD STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112767",
            "telephone_number": "214-272-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIORENAL VISION OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "773-276-2655",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.