MEDICARE: ANGELO LLANA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036144816	IL
2	207R00000X	Internal Medicine Physician	R6J78	MO
3	208M00000X	Hospitalist Physician	R6J78	MO
4	208M00000X	Hospitalist Physician	036144816	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110096079	OTHER	MO	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275562951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELO LLANA MD

Provider Business Mailing Address
First Line	:	2800 CLAY EDWARDS DR
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3220
Country	:	US
Telephone Number	:	816-691-1655
Fax Number	:	816-346-7250

Provider Business Practice Location Address
First Line	:	2700 CLAY EDWARDS DR STE 400
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3270
Country	:	US
Telephone Number	:	816-421-4240
Fax Number	:	816-421-5015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	09/25/2025

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Practice Location Address:

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Directions to “ ANGELO LLANA MD” Practice Location

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