NPIMap

Individual provider Active NPI

Kathryn Clare Twenter, D.O.

  • Internal Medicine Physician
  • Lee's Summit, MO
National Provider Identifier
1841229200
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05-32072 Issued in KS
Practice address
3066 SW Grandstand Cir
Lees Summit, MO 64081-3866
Phone
(913) 215-5008
Fax
(816) 524-4798
NPI assigned
Jun 30, 2006
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2006019899 MO
Internal Medicine Physician 207R00000X 05-32072 KS Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2006019899 MO
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 05-32072 KS

Addresses

Primary practice location

3066 SW Grandstand Cir
Lees Summit, MO 64081-3866

Mailing address

PO Box 875743
Kansas City, MO 64187-5743
Phone (913) 215-5008

Other names 1

  • Kathryn Clare Vandenberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060916000017 MO Practitioner - Internal Medicine 3678578135 Reassigns benefits to 2 organizations
I20060919000508 KS Practitioner - Internal Medicine 3678578135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians

Practice addresses (Care Compare)

2885 Technology Dr
Lake St Louis, MO 63367-4123
Phone (337) 991-9276

400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276

6515 W 103Rd St
Overland Park, KS 66212-1728
Phone (913) 642-5545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2006019899MOMDInternal Medicine Physician
05-32072KSMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC Internal Medicine CurrentSince May 15, 2023 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Dec 24, 2015 Accepting new patients
CH Specialty Services KS LLC Internal Medicine CurrentSince May 8, 2023 Accepting new patients
John Knox Village Past Accepting new patients
Little Sisters of the Poor Past Accepting new patients
Complete Coverage LLC Past Accepting new patients
Metropolitan Pulmonary and Sleep Medicine PC Past Accepting new patients
Wilshire Operator LLC Past Accepting new patients

Locations

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

9100 Park St
Ste 280
Lenexa, KS 66215

4700 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 890-8400

11909 Lamar Ave
Shawnee Mission, KS 66209
Phone (913) 308-4168

6515 W 103rd St
Shawnee Mission, KS 66212
Phone (913) 642-5545

1221 Southgate Ln
Jefferson City, MO 65109
Phone (573) 635-3131

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300

2885 Technology Dr
Lake St Louis, MO 63367
Phone (314) 259-1044

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
John Knox Village Care CenterLees Summit, MO, CCN 265095 Skilled nursing facility Adp of the SNF Jan 23, 2026
Hospice by John Knox VillageLees Summit, MO, CCN 261589 Hospice Contracted Managing Employee Apr 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • John Knox Village

    dba John Knox Village Care Center

    • Skilled Nursing Facility
    • Lee's Summit, MO
    • NPI 1023005592

    Adp of the SNF

    CMS ownership
  • John Knox Village

    dba Hospice by John Knox Village

    • Community Based Hospice Care Agency
    • Lee's Summit, MO
    • NPI 1346337516

    Contracted Managing Employee

    CMS ownership

Organizations & group practices 8

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1841229200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875743",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641875743",
            "telephone_number": "913-215-5008",
            "fax_number": "816-524-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 SW GRANDSTAND CIR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813866",
            "telephone_number": "913-215-5008",
            "fax_number": "816-524-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWENTER",
        "first_name": "KATHRYN",
        "middle_name": "CLARE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2006019899",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-32072",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "2006019899",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KS",
            "license": "05-32072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "VANDENBERG",
            "middle_name": "CLARE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.