MEDICARE: CHILDREN'S MERCY- SUNSHINE PEDIATRICS INC

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

General Provider Information

NPI Number	:	1396619722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S MERCY- SUNSHINE PEDIATRICS INC

Provider Business Mailing Address
First Line	:	2401 GILLHAM ROAD
Second Line	:	ATTN: PROVIDER ENROLLMENT
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-4619
Country	:	US
Telephone Number	:	816-701-5200
Fax Number	:	816-302-9939

Provider Business Practice Location Address
First Line	:	13643 S MUR LEN RD
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1648
Country	:	US
Telephone Number	:	913-764-7060
Fax Number	:

Authorized Official
Title or Position	:	VP, VALUE & PAYOR RELATIONS
Name	:	ROBERT D FINUF II
Credential	:
Telephone Number	:	816-701-5200

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	04/01/2026

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