Organization Active NPI

Palmeri Family Medicine Associates PA

  • Family Medicine Physician
  • Shawnee, KS
National Provider Identifier
1326470097
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALMERI FAMILY MEDICINE ASSOCIATES PA
Practice address
6345 Long Ave
Shawnee, KS 66216-2504
Phone
(913) 438-2226
NPI assigned
Aug 5, 2013
Last updated
Aug 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Dr. Carlos V Palmeri, M.D.
Title
Physician Owner
Phone
(913) 438-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6345 Long Ave
Shawnee, KS 66216-2504

Mailing address

6345 Long Ave
Shawnee, KS 66216-2504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131211001688 KS Part B Supplier - Clinic/Group Practice 5496982779 Receives reassigned benefits from 9 practitioners
Practice locations: Shawnee, KS

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
17D0711020Palmeri Family Medicine Associates6345 Long, Shawnee, KS 66216Provider-performed microscopyJan 14, 2027

National Provider Directory

National Provider Directory

Locations

6345 Long Ave
Ste 100
Shawnee, KS 66216

Practitioners & affiliated clinicians

Practitioners 9

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": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1326470097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 LONG AVE",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 LONG AVE",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162504",
            "telephone_number": "913-438-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERI FAMILY MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "PALMERI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "913-438-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.