Individual provider Active NPI

Christopher George Harlan, D.O.

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1619182052
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009012455 Issued in MO
Practice address
10161 N Ambassador Dr
Kansas City, MO 64153-1366
Phone
(816) 691-3091
Fax
(816) 346-7014
NPI assigned
May 11, 2007
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2009012455 MO Primary

Addresses

Primary practice location

10161 N Ambassador Dr
Kansas City, MO 64153-1366

Mailing address

10161 N Ambassador Dr
Kansas City, MO 64153-1366
Phone (816) 691-3091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091216000102 MO Practitioner - Family Practice 9931249349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

10161 N Ambassador Dr
Kansas City, MO 64153-1366
Phone (816) 691-3091

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009012455MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Meritas Health Corporation CurrentSince Sep 1, 2022 Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Meritas Health Corporation Family Medicine Past Accepting new patients

Locations

101 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 453-1818

10161 N Ambassador Dr
Kansas City, MO 64153
Phone (816) 464-2333

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1619182052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 N AMBASSADOR DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531366",
            "telephone_number": "816-691-3091",
            "fax_number": "816-346-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 N AMBASSADOR DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531366",
            "telephone_number": "816-691-3091",
            "fax_number": "816-346-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2009012455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.