NPIMap

Organization Active NPI

Advanced Urologic Associates, Inc

  • Urology Physician
  • Independence, MO
National Provider Identifier
1801389267
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ADVANCED UROLOGIC ASSOCIATES, INC
Practice address
19001 E 48TH St S
Independence, MO 64055-6964
Phone
(816) 502-8782
NPI assigned
Jun 11, 2018
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LUKE'S HEALTH SYSTEM INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Karen Rawert
Title
Manager, Payor Enrollment
Phone
(816) 502-8782

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

19001 E 48TH St S
Independence, MO 64055-6964

Mailing address

901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 502-8782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120718000595 MO Part B Supplier - Clinic/Group Practice 7618133778 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Butler, MO; Lees Summit, MO; Kansas City, MO; Independence, MO; Blue Springs, MO
O20200409001825 KS Part B Supplier - Clinic/Group Practice 7618133778 Receives reassigned benefits from 14 practitioners
Practice locations: Overland Park, KS

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
26D0442571Advanced Urologic Associates19001 E 48TH Street South, Independence, MO 64055Provider-performed microscopyNov 30, 2026

National Provider Directory

National Provider Directory
Part of
Saint Luke's Health System Inc

Locations

12300 Metcalf Ave
Ste 500A
Overland Park, KS 66213

19001 E 48th St S
Independence, MO 64055
Phone (816) 836-6875

110 NE Saint Lukes Blvd
Ste 120
Lees Summit, MO 64086

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1801389267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-502-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 E 48TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556964",
            "telephone_number": "816-502-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED UROLOGIC ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKE'S HEALTH SYSTEM INC.",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "RAWERT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MANAGER, PAYOR ENROLLMENT",
        "authorized_official_telephone_number": "816-502-8782"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.