Healthcare Provider Details

I. General information

NPI: 1578360541
Provider Name (Legal Business Name): MIDWEST TRANSPLANT PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 E MEYER BLVD STE 640
KANSAS CITY MO
64132-1110
US

IV. Provider business mailing address

2000 HEALTH PARK DR
BRENTWOOD TN
37027-4692
US

V. Phone/Fax

Practice location:
  • Phone: 816-822-8257
  • Fax:
Mailing address:
  • Phone: 615-373-7406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN CALKINS
Title or Position: GROUP VICE PRESIDENT
Credential:
Phone: 615-372-6536