Heartland Regional Medical Center
Organization Active NPI General Practice Physician · Saint Joseph, MO
NPI 1477575405 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1477575405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 426-19 (MO)
- Legal business name
- HEARTLAND REGIONAL MEDICAL CENTER
- Practice address
- 5325 Faraon St
Saint Joseph, MO 64506-3488 - Phone
- (816) 271-6000
- Fax
- (816) 271-7678
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Dwight Carvell
- Title
- Director of Reimbursement
- Phone
- (816) 273-7835
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Practitioners 505
-
Marghoob Abbas, M.D.
-
Vikas Agarwal, M.D.
-
Sajjad Ahmad, M.D.
-
Rafael Alvarez, MD
-
Rachel Amin, NP
-
Alan Anderson, D.O.
-
Andre Joel Arsenault, M.D
-
Rebecca Asiamah, MD
-
Whitney B Atha, APRN
-
Narina Yuri Baburyan, M.D.
-
Kevin Baer, APRN, PMHNP
-
Nathan Oliver Bammes, D.O., M.B.A
-
Harathi Bandaru, MD, MS, FACG, FACP
-
Joseph Franklin Banks, D.O.
-
Michaelene Bardo, DO
-
Rebecca Lynn Barton, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MO, KS, IA
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Mosaic Life Care at St Joseph Medical Center |
Hospital | Operational/Managerial Control (100%) | Nov 13, 2007 |
| Mosaic Life Care Home Health |
Home health agency | Operational/Managerial Control | Jul 1, 1987 |
| Mosaic Life Care Hospice |
Hospice | Operational/Managerial Control (100%) | Jan 1, 1987 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040225001201 | MO | Part B Supplier - Clinic/Group Practice | 6709772767 |
Receives reassigned benefits from 471 practitioners 2 other NPIs on this enrollment |
| O20040518001007 | KS | Part B Supplier - Clinic/Group Practice | 6709772767 |
Receives reassigned benefits from 21 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Atchison, KS; Atchisonc, KS; Hiawatha, KS; Hiwatha, KS; Seneca, KS; Troy, KS |
| O20120912000472 | IA | Part B Supplier - Clinic/Group Practice | 6709772767 |
Receives reassigned benefits from 2 practitioners Practice locations: Clarinda, IA |
National Provider Directory
Locations
1802 S Main St
Maryville, MO 64468
5325 Faraon St
Fl 5
Saint Joseph, MO 64506
105 Far West Dr
Ste 100
Saint Joseph, MO 64506
Phone (816) 271-8110
901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213
105 Far West Dr
Ste 201
Saint Joseph, MO 64506
Phone (816) 271-8182
5210 N Belt Hwy
Saint Joseph, MO 64506
Phone (816) 271-1330
5301 Faraon St
#210A
Saint Joseph, MO 64506
Phone (816) 271-1385
5325 Faraon St
Ste R
Saint Joseph, MO 64506
Phone (816) 271-6870
105 Far West Dr
Ste 202
Saint Joseph, MO 64506
Phone (816) 271-8133
901 Heartland Rd
#1905
Saint Joseph, MO 64506
711 N 36th St
Saint Joseph, MO 64506
Phone (816) 271-4022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Anesthesiology) Physician |
207LA0401X | |||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | 426-19 | MO | |
| Emergency Medicine Physician |
207P00000X | 426-19 | MO | |
| Family Medicine Physician |
207Q00000X | 426-19 | MO | |
| Internal Medicine Physician |
207R00000X | 426-19 | MO | |
| Cardiovascular Disease Physician |
207RC0000X | 426-19 | MO | |
| Neurological Surgery Physician |
207T00000X | 426-19 | MO | |
| Obstetrics & Gynecology Physician |
207V00000X | 426-19 | MO | |
| Otolaryngology Physician |
207Y00000X | 426-19 | MO | |
| Physical Medicine & Rehabilitation Physician |
208100000X | 426-19 | MO | |
| Plastic Surgery Physician |
208200000X | 426-19 | MO | |
| Neurology Physician |
2084N0400X | 426-19 | MO | |
| General Practice Physician |
208D00000X | 426-19 | MO | Yes |
| Hospitalist Physician |
208M00000X | 426-19 | MO | |
| Pain Medicine Physician |
208VP0000X | 426-19 | MO |
Addresses
Primary practice location
5325 Faraon St
Saint Joseph, MO 64506-3488
Mailing address
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540156809 | Medicaid | MO |
Other names
- Mosaic Life Care
Other providers in Saint Joseph, MO
- Heartland Regional Medical Center
- Heartland Regional Medical Center
- Heartland Regional Medical Center
- Heartland Regional Medical Center
- Heartland Regional Medical Center
- Heartland Regional Medical Center
- Heartland Regional Medical Center
- Heartland Regional Medical Center
- Heartland Regional Medical Center
- Heartland Residential Care Facility
All providers in Saint Joseph, MO · General Practice Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.