Active NPI
Lee'S Summit Family Care LLC
- Family Medicine Physician
- Lees Summit, MO
National Provider Identifier
1619923968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LEE'S SUMMIT FAMILY CARE LLC
- Practice address
- 600 NW Murray Rd
Suite 210
Lees Summit, MO 64081-1204 - Phone
- (816) 524-2626
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
600 NW Murray Rd
Suite 210
Lees Summit, MO 64081-1204
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100453580A | Medicaid | KS | |
| 506096205 | Medicaid | MO | |
| 09659028 | Other | KS | BCBS OF KANSAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2000 SE Blue Pkwy
Ste 270
Lees Summit, MO 64063
Phone (816) 333-5005
3490 NE Ralph Powell Rd
Ste B
Lees Summit, MO 64064
Phone (816) 554-7100
3490 NE Ralph Powell Rd
Ste A
Lees Summit, MO 64064
Phone (816) 554-7100
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lees Summit, MO
- NPI 1285673038
-
- Family Medicine Physician
- Lees Summit, MO
- NPI 1770538936
-
- Family Nurse Practitioner
- Lees Summit, MO
- NPI 1740226810
-
- Family Nurse Practitioner
- Raymore, MO
- NPI 1194267161
-
- Family Medicine Physician
- Lees Summit, MO
- NPI 1932842077
-
- Family Medicine Physician
- Lees Summit, MO
- NPI 1942597786
-
- Family Medicine Physician
- Lees Summit, MO
- NPI 1265605331
-
- Family Medicine Physician
- Lees Summit, MO
- NPI 1659366250
-
- Family Medicine Physician
- Warsaw, MO
- NPI 1386083186
-
- Family Medicine Physician
- Lees Summit, MO
- NPI 1851386932
-
- Nurse Practitioner
- Lees Summit, MO
- NPI 1154781664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763683200000",
"number": "1619923968",
"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": "600 NW MURRAY RD",
"address_2": "SUITE 210",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640811204",
"telephone_number": "816-524-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE'S SUMMIT FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"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": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100453580A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "506096205",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS",
"identifier": "09659028",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
- Shelby Lee
- Shelby Lee, PT, DPT
- Lee'S Summit Chiropractic Center P.C.
- Lee'S Summit Chiropractic Group
- Lee'S Summit Dermatology Associates I, PC
- Lee'S Summit Physicians Group - Internal Medicine LLC
- Lee'S Summit Physicians Group Urgent Care
- Lee'S Summit R-7 School District
- Lee'S Summit School District R-7
- Lee'S Summit Surgicenter, LLC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.