Organization Active NPI

Medical Group of Kansas City, LLC

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1407803273
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL GROUP OF KANSAS CITY, LLC
Practice address
6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1167
Phone
(816) 363-7710
Fax
(816) 363-8414
NPI assigned
May 27, 2006
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Benjamin Calkins
Title
Group Vice President
Phone
(615) 372-6536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1167

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Other identifiers 4

IdentifierTypeStateIssuer
501165203MedicaidMO
24143031OtherMOBCBS OF KANSAS
100452640AMedicaidKS
100452640BMedicaidKS

Other names 1

  • The Medical Group of Kansas City, LLC Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040408000248 MO Part B Supplier - Clinic/Group Practice 8921091455 Receives reassigned benefits from 14 practitioners
Practice locations: Belton, MO; Raytown, MO; Lees Summit, MO; Kansas City, MO; Harrisonville, MO; Grandview, MO
O20070425000310 KS Part B Supplier - Clinic/Group Practice 8921091455 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Overland Park, KS

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
26D1021363Medical Group of Kansas City6675 Holmes Road 5TH Floor Ste 550, Kansas City, MO 64131Certificate of waiverJan 20, 2028

National Provider Directory

National Provider Directory

Locations

2330 E Meyer Blvd
Ste 101
Kansas City, MO 64132
Phone (816) 276-9800

6420 Prospect Ave
Ste 102
Kansas City, MO 64132
Phone (816) 444-5156

6675 Holmes Rd
Ste 102
Kansas City, MO 64131
Phone (913) 339-9046

2000 SE Blue Pkwy
Ste 250A
Lees Summit, MO 64063
Phone (816) 363-7710

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1407803273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "SUITE 550",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311167",
            "telephone_number": "816-363-7710",
            "fax_number": "816-363-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF KANSAS CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-6536"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501165203",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "24143031",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100452640A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100452640B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Group of Kansas City, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.