Individual provider Active NPI

Charles Richard Walde, MD

  • Infectious Disease Physician
  • Kansas City, KS
National Provider Identifier
1336777184
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
04-50839 Issued in KS
Practice address
2340 E Meyer Blvd BLDG 2 Ste 392
Kansas City, KS 66160-8500
Phone
(816) 444-7977
NPI assigned
Mar 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 04-50839 KS Primary

Addresses

Primary practice location

2340 E Meyer Blvd BLDG 2 Ste 392
Kansas City, KS 66160-8500

Mailing address

2340 E Meyer Blvd Unit 392
Kansas City, MO 64132-1105
Phone (877) 448-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250515000829 KS Practitioner - Infectious Disease 4284058322 Reassigns benefits to 1 organization
I20250515000934 MO Practitioner - Infectious DiseasePractitioner - Internal Medicine 4284058322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2340 E Meyer Blvd
Suite 392 BLDG 2
Kansas City, MO 64132-1129
Phone (816) 444-7977

4601 W 109TH St
Suite 100
Overland Park, KS 66211-1313
Phone (913) 942-0540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-50839KSMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Jul 1, 2025 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Jul 1, 2025 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

4601 W 109th St
Ste 100
Overland Park, KS 66211
Phone (913) 491-0765

2910 Trimble Rd
Ste 105
Columbia, MO 65201
Phone (480) 455-4981

2340 E Meyer Blvd
Ste 392
Kansas City, MO 64132
Phone (816) 444-7977

2821 N Ballas Rd
Ste 118
Saint Louis, MO 63131

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1336777184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD UNIT 392",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321105",
            "telephone_number": "877-448-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD BLDG 2 STE 392",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "816-444-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDE",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "04-50839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.