Individual provider Active NPI

Vicente C Palmeri, MD

  • Family Medicine Physician
  • Shawnee, KS
National Provider Identifier
1891761342
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0418644 Issued in KS
Practice address
6345 Long Ave
Shawnee, KS 66216-2504
Phone
(913) 631-6400
Fax
(913) 631-6868
NPI assigned
Feb 24, 2006
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0418644 KS Primary

Addresses

Primary practice location

6345 Long Ave
Shawnee, KS 66216-2504

Mailing address

6345 Long Ave
Shawnee, KS 66216-2504
Phone (913) 631-6400

Other identifiers 2

IdentifierTypeStateIssuer
100193390BMedicaidKS
100193390AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000243 KS Practitioner - Family Practice 0941217327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palmeri Family Medicine Associates PAGroup PAC ID 5496982779, 7 clinicians

Practice addresses (Care Compare)

6345 Long Ave
Shawnee, KS 66216-2504
Phone (913) 631-6400

Hospital & facility affiliations

  • Gentiva Hospice, Lenexa, KS, CCN 171569

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0418644KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmeri Family Medicine Associates PA Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
Family Practice Associates CHTD Family Medicine Current Accepting new patients

Locations

1150 N 75th Pl
Kansas City, KS 66112
Phone (913) 299-1040

1150 N 75th Pl
Ste 200
Kansas City, KS 66112
Phone (913) 299-2100

6345 Long Ave
Ste 100
Shawnee, KS 66216

6345 Long Ave
Shawnee Msn, KS 66216
Phone (913) 631-6400

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
GentivaLenexa, KS, CCN 171569 Hospice Contracted Managing Employee Jan 14, 2025

Owned or controlled facilities with NPI records 1

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

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1891761342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 LONG AVE",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162504",
            "telephone_number": "913-631-6400",
            "fax_number": "913-631-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 LONG AVE",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162504",
            "telephone_number": "913-631-6400",
            "fax_number": "913-631-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMERI",
        "first_name": "VICENTE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0418644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193390B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193390A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.