Individual provider Active NPI

Steven Haokun Ren

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1801583778
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2025052006 Issued in MO
Practice address
5844 NW Barry Rd Ste 320
Kansas City, MO 64154-1421
Phone
(816) 468-8632
Fax
(816) 468-7722
NPI assigned
Apr 20, 2023
Last updated
May 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2025052006 MO Primary

Addresses

Primary practice location

5844 NW Barry Rd Ste 320
Kansas City, MO 64154-1421

Mailing address

901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 502-8752

Other names 1

  • Haokun Ren Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251224002581 MO Practitioner - Physician Assistant 7719472901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1131 W Main St
Blue Springs, MO 64015-3611

8414 Maurer Rd
Apt 1735
Lenexa, KS 66219-2818

901 E 104TH St
Kansas City, MO 64131-4517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2025052006MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Core Medical Center, LLC CurrentSince Dec 9, 2025 Accepting new patients

Locations

1131 W Main St
Blue Springs, MO 64015
Phone (816) 229-1941

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1801583778",
    "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": "816-502-8752",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD STE 320",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541421",
            "telephone_number": "816-468-8632",
            "fax_number": "816-468-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REN",
        "first_name": "STEVEN",
        "middle_name": "HAOKUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2025052006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAOKUN",
            "last_name": "REN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.