Active NPI
Family Medical Clinic, LLC
- Family Medicine Physician
- Blue Springs, MO
National Provider Identifier
1699708842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 105481
- Legal business name
- FAMILY MEDICAL CLINIC, LLC
- Doing business as
- Family Medical Clinic
Nova Familycare Medical Clinic - Practice address
- 1700 NW Mock Ave Ste a
Blue Springs, MO 64015-3122 - Phone
- (816) 224-0400
- Fax
- (816) 224-0418
- NPI assigned
- Jul 9, 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
- Anil Singh
- Title
- Owner
- Phone
- (816) 945-9596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 105481 | MO | Primary |
Addresses
Primary practice location
1700 NW Mock Ave Ste a
Blue Springs, MO 64015-3122
Mailing address
1700 NW Mock Ave Ste a
Blue Springs, MO 64015-3122
Phone (816) 224-0400
Other names 2
- Family Medical Clinic
- Nova Familycare Medical Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1054539 | Family Medical Clinic, LLC | Certificate of waiver | Jun 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
205 W Road Mize Rd
Ste 108
Blue Springs, MO 64014
Phone (816) 224-0400
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1073964524
-
- General Practice Physician
- Lees Summit, MO
- NPI 1801951470
-
- Family Nurse Practitioner
- Kansas City, MO
- NPI 1366853673
-
- Family Nurse Practitioner
- Blue Springs, MO
- NPI 1841683323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1699708842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NW MOCK AVE STE A",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153122",
"telephone_number": "816-224-0400",
"fax_number": "816-224-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NW MOCK AVE STE A",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153122",
"telephone_number": "816-224-0400",
"fax_number": "816-224-0418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICAL CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "ANIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-945-9596"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "105481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Medical Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Family Medical Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nova Familycare Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.