Cynthia Patricia Contreras

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

94-11335 Issued in KS

Practice address

3901 Rainbow Blvd # Ms 1023
Kansas City, KS 66160-1613

Phone

(913) 588-1908

Fax

(513) 751-8638

NPI assigned

Mar 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1366028375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 OAK ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061613",
            "telephone_number": "513-862-1800",
            "fax_number": "513-751-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 1023",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661601613",
            "telephone_number": "913-588-1908",
            "fax_number": "513-751-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "CYNTHIA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "94-11335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol S Connor, MD
• Katherine Conover
• Mary B Conrad, ARNP
• Christopher Conroy
• Consolidated Resources Health Care Fund I, L.P.
• Brianna Christine Coogle, MD
• Carolyne Marie Cook, APRN
• Christa Cook, LMSW
• Allan R Cooke, M.D.
• Jermaine Anthony Cooke, MSW

• All providers in Kansas City, KS
• Gastroenterology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.