NPIMap

Organization Active NPI

Saint Luke's Neighborhood Clinics, LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
National Provider Identifier
1346783008
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SAINT LUKE'S NEIGHBORHOOD CLINICS, LLC
Practice address
4061 Indian Creek Pkwy Ste 110
Overland Park, KS 66207-4030
Phone
(816) 502-8782
Fax
(913) 323-8886
NPI assigned
Nov 29, 2016
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LUKES HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Charles V Robb
Title
Sr VP Cfo SLHS
Phone
(816) 932-3729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

4061 Indian Creek Pkwy Ste 110
Overland Park, KS 66207-4030

Mailing address

901 E 104TH St
Ms 400N
Kansas City, MO 64131-4517
Phone (816) 502-8782

Other names 1

  • Saint Luke's Radiology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20170601000759 KS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8224348529 Practice locations: Overland Park, KS
O20170831001111 MO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8224348529 Practice locations: Blue Springs, MO
O20180810000447 MO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8224348529 Practice locations: Kansas City, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
17D2284980Saint Luke's Ambulatory Infusion Clinic4061 Indian Creek Parkway Ste 320, Overland Park, KS 66207Certificate of waiverJul 2, 2027
17D2343704St Luke's Concierge Clinic4061 Indian Creek Pkwy, Ste 330, Overland Park, KS 66207Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory
Part of
Saint Luke's Health System Inc

Locations

8501 W 151st St
Overland Park, KS 66223

6655 Martway St
Shawnee Mission, KS 66202
Phone (913) 323-8875

600 NE Adams Dairy Pkwy
Ste 290
Blue Springs, MO 64014

4820 N Oak Trfy
Kansas City, MO 64118
Phone (816) 251-5785

Practitioners & affiliated clinicians

Practitioners 147

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 147

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1346783008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MS 400N",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-502-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 INDIAN CREEK PKWY STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074030",
            "telephone_number": "816-502-8782",
            "fax_number": "913-323-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKE'S NEIGHBORHOOD CLINICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKES HEALTH SYSTEM INC",
        "enumeration_date": "2016-11-29",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "ROBB",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SR VP CFO SLHS",
        "authorized_official_telephone_number": "816-932-3729"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Luke's Radiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.