Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

State Line Medical Group LLC

Q: What type of organization is State Line Medical Group LLC?

State Line Medical Group LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

Internal Medicine Physician in Kansas City, MO · enumerated 2006 · authorized official Ken Washington, Vp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679529853

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Registry record

Entity type Organization (Type 2)

Legal business name State Line Medical Group LLC

Practice address 7611 State Line Rd, Suite 103, Kansas City, MO, 64114

Phone (816) 333-9886

Enumeration date May 26, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ken Washington

Title Vp

Phone (816) 333-9886

Other identifiers

Identifier	Type	State	Issuer
29398029	Other	MO	BCBS OF KC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is State Line Medical Group LLC?

State Line Medical Group LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.