Robert Alan Grimes, M.D.

Individual provider Active NPI Pediatrics Physician · Plattsburg, MO

NPI 1992702179 · NPPES record last updated Mar 30, 2026

Key facts

NPI
1992702179
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
105951 (MO)
Practice address
116 N Main St
Plattsburg, MO 64477-1236
Phone
(816) 704-5800
Fax
(816) 704-5793
NPI assigned
Jul 4, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105951MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Pediatrics LLC Pediatrics Current
since Jul 9, 2025
Accepting new patients

Locations

116 N Main St
Plattsburg, MO 64477
Phone (816) 436-1036

1500 S US Highway 169
Ste C
Smithville, MO 64089
Phone (816) 704-5800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 105951 MO Yes

Addresses

Primary practice location

116 N Main St
Plattsburg, MO 64477-1236

Mailing address

116 N Main St
Plattsburg, MO 64477-1236
Phone (816) 704-5800

Other practice location 1

1500 S US Highway 169 Ste C
Smithville, MO 64089-9413
Phone (816) 704-5800

Other identifiers

IdentifierTypeStateIssuer
500147279MedicaidMO

Other names

  • Dr. R. Alan Grimes Professional name

Other providers in Plattsburg, MO

All providers in Plattsburg, MO · Pediatrics Physician in Missouri

Sources for this page

Verify at the official NPI Registry.