MEDICARE: MERITAS HEALTH CORPORATION

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	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13930011	OTHER	MO	BCBS OF KANSAS CITY

General Provider Information

NPI Number	:	1316927148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERITAS HEALTH CORPORATION

Provider Business Mailing Address
First Line	:	9411 N OAK TRFY
Second Line	:	SUITE LL1
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-2262
Country	:	US
Telephone Number	:	816-436-7072
Fax Number	:	816-436-2743

Provider Business Practice Location Address
First Line	:	2700 CLAY EDWARDS DR
Second Line	:	SUITE 500
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3251
Country	:	US
Telephone Number	:	816-421-4115
Fax Number	:	816-421-4152

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEPHEN L REINTJES SR.
Credential	:	MD
Telephone Number	:	816-691-5287

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	06/13/2025

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1164492294 — DR. GRACE WISCO BAYSA-NG MD
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Directions to “MERITAS HEALTH CORPORATION ” Practice Location

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