Amit Blumovich, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2401 Gillham Rd
Kansas City, MO 64108

Phone

(816) 983-6905

NPI assigned

Jul 10, 2024

Reactivated

May 21, 2025

Last updated

May 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: ablumovich664372@direct.saint-lukes.org

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1871330506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64108",
            "telephone_number": "816-983-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64108",
            "telephone_number": "816-983-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMOVICH",
        "first_name": "AMIT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-05-21",
        "deactivation_date": "2025-04-03",
        "reactivation_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200148629",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "2500101170",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Lynn Blue, PHD
• Lester E Blue Jr., PH.D.
• Richard B Bluel, DC
• Lisa A Blume Sr., LSCSW,LCSW
• Celine D. Blummer, CRNA
• Alissa Christina Blundell, DNP, FNP-C
• Kathryn Mary Blundell, RN, BSN, CNOR, CRNFA
• Robert Eugene Blundell Jr., DDS
• Tyler Blyth
• Jacquelyn E Boan, FNP

• Student in an Organized Health Care Education/Training Program in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.