Individual provider Active NPI

Ramiro C Montemayor III, NP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1467001982
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020011020 Issued in MO
Practice address
500 NW 68TH St
Kansas City, MO 64118-2455
Phone
(816) 420-6300
Fax
(877) 607-1785
NPI assigned
Sep 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020011020 MO Primary
Family Nurse Practitioner 363LF0000X 53-79588-082 KS

Addresses

Primary practice location

500 NW 68TH St
Kansas City, MO 64118-2455

Mailing address

7111 W 151St St Ste 303
Overland Park, KS 66223-2231
Phone (913) 549-3884

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210203002788 MO Practitioner - Nurse Practitioner 4587078407 Reassigns benefits to 2 organizations
I20210210000276 KS Practitioner - Nurse Practitioner 4587078407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liveactive Multispecialty Physician Group LLCGroup PAC ID 9436520954, 4 clinicians

Practice addresses (Care Compare)

500 NW 68TH St
Kindred Hospital Northland
Kansas City, MO 64118-2455
Phone (816) 420-3600

6650 W 110TH St
Suite 220a
Overland Park, KS 66211-1501
Phone (913) 549-3884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liveactive Multispecialty Physician Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Liveactive Primary Care, LLC CurrentSince Dec 30, 2020 Accepting new patients
Liveactive Primary Care Tampa, LLC PastSince Sep 8, 2025 Accepting new patients

Locations

7111 W 151st St
Overland Park, KS 66223
Phone (785) 403-0405

500 NW 68th St
Kansas City, MO 64118
Phone (816) 420-3600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1467001982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 W 151ST ST STE 303",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232231",
            "telephone_number": "913-549-3884",
            "fax_number": "913-273-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW 68TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641182455",
            "telephone_number": "816-420-6300",
            "fax_number": "877-607-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMAYOR",
        "first_name": "RAMIRO",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020011020",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79588-082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.