Organization Active NPI

Family Health Specialist of Lee's Summit, LLC

  • Family Medicine Physician
  • Lee's Summit, MO
National Provider Identifier
1871540658
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY HEALTH SPECIALIST OF LEE'S SUMMIT, LLC
Practice address
2000 SE Blue Parkway
Suite 270 B
Lees Summit, MO 64063-4466
Phone
(816) 524-8488
Fax
(816) 524-8118
NPI assigned
May 27, 2006
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Benjamin Calkins
Title
Group Vice President
Phone
(615) 372-6536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2000 SE Blue Parkway
Suite 270 B
Lees Summit, MO 64063-4466

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Other identifiers 2

IdentifierTypeStateIssuer
509102000MedicaidMO
200257290AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608001209 MO Part B Supplier - Clinic/Group Practice 1355324625 Receives reassigned benefits from 12 practitioners
Practice locations: Lees Summit, MO; Lee's Summit, MO

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
26D1022369Family Health Specialists of Lee's Summit2000 SE Blue Pkwy, Ste 270, Lees Summit, MO 64063Certificate of waiverMay 3, 2027
26D2309921Lee's Summit Family Medicine2000 SE Blue Parkway, Suite 270B-1, Lees Summit, MO 64063Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

2000 SE Blue Pkwy
Ste 270B
Lees Summit, MO 64063
Phone (816) 333-5005

270 N E Tudor Rd
Lees Summit, MO 64086
Phone (816) 524-8008

735 NE Lakewood Blvd
Lees Summit, MO 64064
Phone (816) 478-0111

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1871540658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SE BLUE PARKWAY",
            "address_2": "SUITE 270 B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634466",
            "telephone_number": "816-524-8488",
            "fax_number": "816-524-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH SPECIALIST OF LEE'S SUMMIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-6536"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509102000",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200257290A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.