NPIMap

Organization Active NPI

Children's Mercy - Redwood Pediatrics

  • Pediatrics Physician
  • Kansas City, MO
National Provider Identifier
1306363858
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2010037363 Issued in MO
Legal business name
CHILDREN'S MERCY - REDWOOD PEDIATRICS
Practice address
9784 N Ash Ave
Kansas City, MO 64157-9742
Phone
(816) 207-0070
Fax
(816) 256-2806
NPI assigned
Aug 25, 2017
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Robert D Finuf II
Title
Senior Vice President
Phone
(816) 701-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2010037363 MO Primary

Addresses

Primary practice location

9784 N Ash Ave
Kansas City, MO 64157-9742

Mailing address

2401 Gillham Road
Provider Enrollment Dept
Kansas City, MO 64108-4619
Phone (816) 701-5200

Other practice location 1

6364 N Cosby Ave
Kansas City, MO 64151-2344
Phone (816) 540-1070

Other identifiers 3

IdentifierTypeStateIssuer
500083085MedicaidMO
30004674750003MedicaidKS
30004674750002MedicaidKS

Other names 1

  • Redwood Pediatrics - An Affiliate of Children's Mercy Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2265906Children's Mercy-Redwood Pediatrics, Inc9784 N Ash Avenue, Kansas City, MO 64157Certificate of waiverAug 2, 2026
26D2265909Children's Mercy-Redwood Pediatrics, Inc6364 N Cosby Avenue, Kansas City, MO 64151Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory

Locations

6364 N Cosby Ave
Kansas City, MO 64151
Phone (816) 540-1070

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1306363858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM ROAD",
            "address_2": "PROVIDER ENROLLMENT DEPT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-701-5200",
            "fax_number": "816-302-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9784 N ASH AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641579742",
            "telephone_number": "816-207-0070",
            "fax_number": "816-256-2806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6364 N Cosby Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641512344",
            "country_code": "US",
            "telephone_number": "816-540-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S MERCY - REDWOOD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "FINUF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "816-701-5200",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2010037363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500083085",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004674750003",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004674750002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Pediatrics - An Affiliate of Children's Mercy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.