Organization Active NPI

Family Medical Clinic, LLC

  • Family Medicine Physician
  • Blue Springs, MO
National Provider Identifier
1699708842
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
105481 Issued in MO
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

Updated by the provider on Aug 13, 2026

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as
  • Nova Familycare Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060821000516 MO Part B Supplier - Clinic/Group Practice 0042213613 Receives reassigned benefits from 4 practitioners
Practice locations: Blue Springs, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1054539Family Medical Clinic, LLC1700 NW Mock Ave, Suite a, Blue Springs, MO 64015Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.