Individual provider Active NPI

Charlene Incognito Carino-Warren, M.D.

  • Anesthesiology Physician
  • Lees Summit, MO
National Provider Identifier
1386860583
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2011012283 Issued in MO
Practice address
2100 SE Blue Pkwy
Lees Summit, MO 64063-1007
Phone
(816) 282-5540
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2011012283 MO Primary

Addresses

Primary practice location

2100 SE Blue Pkwy
Lees Summit, MO 64063-1007

Mailing address

8717 W 110TH St
Suite 600
Overland Park, KS 66210-2144
Phone (913) 428-2900

Other names 1

  • Charlene Incognito Carino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20120125000540 MO Practitioner - Anesthesiology 6002083441 Reassigns benefits to 2 organizations
I20150730012514 KS Practitioner - Anesthesiology 6002083441 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Kansas City, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Missouri LLCGroup PAC ID 4082908249, 88 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Apollo Medical Group of Overland Park LLCGroup PAC ID 3678809092, 11 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-2819

4940 W 137TH St
Leawood, KS 66224-5940
Phone (469) 863-9978

6650 W 110TH St
Suite 300
Overland Park, KS 66211-1546
Phone (913) 469-6777

Hospital & facility affiliations

  • St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193
  • St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon West Surgery Center LLC CurrentSince Dec 19, 2025 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Apr 26, 2023 Accepting new patients
Northstar Anesthesia of Kansas, LLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Northstar Anesthesia of Missouri, LLC Anesthesiology CurrentSince May 1, 2020 Accepting new patients
St Joseph Anesthesia Services, P.C. Past Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

11340 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (816) 786-4901

4940 W 137th St
Ste A
Overland Park, KS 66224
Phone (866) 888-8510

4940 W 137th St
Overland Park, KS 66224
Phone (913) 232-9846

203 W Road Mize Rd
Ste 218
Blue Springs, MO 64014
Phone (816) 874-4181

17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

200 NE 54th St
Unit 200
Kansas City, MO 64118

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

2861 NE Independence Ave
Ste 101
Lees Summit, MO 64064
Phone (816) 579-1500

4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364

1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 396-9517

1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780

12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400

9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1386860583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST",
            "address_2": "SUITE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102144",
            "telephone_number": "913-428-2900",
            "fax_number": "913-428-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631007",
            "telephone_number": "816-282-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARINO-WARREN",
        "first_name": "CHARLENE",
        "middle_name": "INCOGNITO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2011012283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "CARINO",
            "middle_name": "INCOGNITO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.