NPIMap

Organization Active NPI

Saint Luke's Physician Group Inc

  • Infusion Therapy Clinic/Center
  • Blue Springs, MO
National Provider Identifier
1376257220
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
SAINT LUKE'S PHYSICIAN GROUP INC
Practice address
600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone
(816) 932-4630
NPI assigned
Jan 5, 2023
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LUKE'S HEALTH SYSTEM INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Damara L Harper
Title
VP of Finance
Phone
(816) 599-9563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493

Mailing address

901 E 104TH St
Kansas City, MO 64131-4517

Other practice location 1

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (816) 932-4630

Other names 1

  • Saint Luke's Infusion Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031111000818 MO Part B Supplier - Clinic/Group Practice 3577476894 Receives reassigned benefits from 1,370 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20050302000266 KS Part B Supplier - Clinic/Group Practice 3577476894 Receives reassigned benefits from 858 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
26D2284628Saint Luke's Ambulatory Infusion Clinic600 NE Adams Dairy Parkway Ste 130, Blue Springs, MO 64014Certificate of waiverJun 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
3 Saint Lukes Shawnee M3 organizations share this tax ID, including this one
Part of
Saint Luke's Health System Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1376257220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE ADAMS DAIRY PKWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640145493",
            "telephone_number": "816-932-4630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4061 Indian Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662074030",
            "country_code": "US",
            "telephone_number": "816-932-4630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAINT LUKE'S PHYSICIAN GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKE'S HEALTH SYSTEM INC.",
        "enumeration_date": "2023-01-05",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "DAMARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "816-599-9563"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Luke's Infusion Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.