Saint Lukes Physician Group Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SAINT LUKES PHYSICIAN GROUP INC

Practice address

901 E 104TH St
Mailstop 3000E
Kansas City, MO 64131-4517

Phone

(816) 502-7000

NPI assigned

Jun 29, 2021

Last updated

Jul 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SAINT LUKES PHYSICIAN GROUP INCAs reported in NPPES

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

Authorized official

Name

Julie Murphy

Title

Cfo

Phone

(816) 599-9563

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• Saint Lukes Primary Care at Home Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

3 Saint Lukes Shawnee M3 organizations share this tax ID, including this one

Part of

3 Saint Lukes Shawnee M

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Saint Luke's Physician Group Inc

  • Infusion Therapy Clinic/Center
  • Blue Springs, MO
  • NPI 1376257220
  NPD tax ID
• Saint Lukes Physician Group Inc

  • Urgent Care Clinic/Center
  • Overland Park, KS
  • NPI 1427664283
  NPD tax ID

Locations

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1902476187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504938",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504938",
            "telephone_number": "816-502-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 3000E",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-502-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES PHYSICIAN GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKES PHYSICIAN GROUP INC",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-599-9563"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "H720000",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "G930000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "110403",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "B940000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Lukes Primary Care at Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Saint Lukes Primary Care at Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Saint Lukes Health System Home Care and Hospice (Saint Luke's Advanced Care Pharmacy)
• Saint Lukes Health System Home Care and Hospice
• Saint Lukes Hospital Gi Hospitalists
• Saint Lukes Im Hospitalists
• Saint Lukes Physician Group II LLC (Saint Lukes Physician Specialists LLC)
• Saint Lukes Surgery Center Shoal Creek, LLC
• Saint Lukes-Gi Diagnostics LLC
• Clara Sainte, LCSW
• Vladimir Sainte, LCSW
• Mackenzie Sainz, LPC, LCPC, ATR

• Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.