Renato Aller-Zumaeta, DO
Individual provider Active NPI Family Medicine Physician · Kansas City, MO
NPI 1639433980 · NPPES record last updated Jan 31, 2018
Key facts
- NPI
- 1639433980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2016033675 (MO)
- Practice address
- 5844 NW Barry Rd
Ste. 110
Kansas City, MO 64154-1465 - Phone
- (816) 880-2600
- Fax
- (816) 880-2640
- NPI assigned
- Jul 2, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2016033675 | MO | Yes |
Addresses
Primary practice location
5844 NW Barry Rd
Ste. 110
Kansas City, MO 64154-1465
Mailing address
901 E. 104TH St.
Mailstop 400N
Kansas City, MO 64131
Phone (816) 502-7104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639433980 | Medicaid | MO |
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- Stacy Allenbrand
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- Hannah Allgaier
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All providers in Kansas City, MO · Family Medicine 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 Jan 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.