Individual provider Active NPI

Temesgen Wakwaya, D.O.

  • Occupational Medicine Physician
  • Kansas City, KS
National Provider Identifier
1871619916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
05-19730 Issued in KS
Practice address
4214 Kansas Ave
Kansas City, KS 66106-1119
Phone
(615) 778-4066
Fax
(615) 778-9114
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 05-19730 KS Primary

Addresses

Primary practice location

4214 Kansas Ave
Kansas City, KS 66106-1119

Mailing address

720 Cool Springs Blvd
Suite 300
Franklin, TN 37067-2626
Phone (615) 778-4066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111006000279 KS Practitioner - Preventive Medicine 7416129879 Reassigns benefits to 2 organizations
I20150119000653 MO Practitioner - Preventive Medicine 7416129879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care of Kansas PAGroup PAC ID 5991029159, 25 clinicians

Practice addresses (Care Compare)

14809 W 95TH St
Concentra Urgent Care
Lenexa, KS 66215-5220
Phone (913) 894-6664

4214 Kansas Ave
Kansas City, KS 66106-1119
Phone (913) 321-7557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-19730KSMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Kansas PA CurrentSince Jan 1, 2015 Accepting new patients
American Current Care of Kansas PA CurrentSince Jan 1, 2015 Accepting new patients
Kansas Carenow Urgent Care LLC CurrentSince Jan 1, 2017 Accepting new patients
American Current Care of Kansas PA Current Accepting new patients
American Current Care of Kansas PA CurrentSince Jan 1, 2015 Accepting new patients

Locations

4214 Kansas Ave
Kansas City, KS 66106
Phone (913) 321-7557

3500 W 95th St
Leawood, KS 66206
Phone (913) 305-3167

14809 W 95th St
Lenexa, KS 66215
Phone (913) 894-6664

7935 W 151st St
Overland Park, KS 66223
Phone (913) 814-3788

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

6401 E Front St
Kansas City, MO 64120
Phone (816) 241-0603

83 Progress Pkwy
Maryland Hts, MO 63043
Phone (314) 434-8174

9490 E State Route 350
Raytown, MO 64133
Phone (816) 256-4089

5506 Corporate Dr
Ste 1700
Saint Joseph, MO 64507
Phone (816) 671-4880

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871619916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD",
            "address_2": "SUITE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672626",
            "telephone_number": "615-778-4066",
            "fax_number": "615-778-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 KANSAS AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661061119",
            "telephone_number": "615-778-4066",
            "fax_number": "615-778-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKWAYA",
        "first_name": "TEMESGEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "KS",
            "license": "05-19730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.