NPIMap

Organization Active NPI

Gates Hospitalists LLC

  • Internal Medicine Physician
  • North Kansas City, MO
National Provider Identifier
1699774893
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2000174342 Issued in MO
Legal business name
GATES HOSPITALISTS LLC
Practice address
2750 Clay Edwards Dr Ste 200a
North Kansas City, MO 64116-3237
Phone
(816) 968-9320
NPI assigned
Jul 19, 2005
Last updated
Mar 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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

Authorized official

Name
Stacey Michelle Gates
Title
Business Manager
Phone
(816) 968-9320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2000174342 MO Primary

Addresses

Primary practice location

2750 Clay Edwards Dr Ste 200a
North Kansas City, MO 64116-3237

Mailing address

PO Box 256
Liberty, MO 64069-0256
Phone (816) 968-9320

Other identifiers 3

IdentifierTypeStateIssuer
200305270AMedicaidKS
33624016OtherMOBLUE SHIELD KANSAS CITY
509340907MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000431 MO Part B Supplier - Clinic/Group Practice 1759287527 Receives reassigned benefits from 23 practitioners
Practice locations: Kansas City, MO; North Kansas City, MO; N Kansas City, MO; Liberty, MO; Excelsior Springs, MO

National Provider Directory

National Provider Directory

Locations

2750 Clay Edwards Dr
Ste 200A
North Kansas City, MO 64116
Phone (816) 691-2000

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616803200000",
    "number": "1699774893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640690256",
            "telephone_number": "816-968-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 200A",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "816-968-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES HOSPITALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "816-968-9320"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2000174342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200305270A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD KANSAS CITY",
            "identifier": "33624016",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509340907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; 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.

Verify at the official NPI Registry.