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Darin Roark

Physician β€’ Lees Summit, MO

Active NPI 1437790219 Individual Practitioner Male Practitioner
Practice location in NPPES

2628 Se Kimbrough Ln
Lees Summit, MO 640631082

Call 8165823508 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2628 Se Kimbrough Ln

Lees Summit, MO 640631082

Telephone 8165823508
Organization at the Same NPPES Address or Phone
Jumpstart 2 Living Llc Facility NPI 1558162545

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Overland Park, KS. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-24
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NUCC Taxonomy Code: 320900000X

License # reported to NPPES MO 1437790219

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Secondary Practice Locations

10516 W 129th Ter

Overland Park, KS 662133465

Phone: 8165823508

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2025

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (license number reported to NPPES: MO 1437790219)

βœ…
NPI Profile Active October 03, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 03, 2019

Registered at 2628 SE KIMBROUGH LN, LEES SUMMIT, MO 640631082 (Tel: 8165823508)

πŸ“
Business Mailing Address (Initial Record) October 03, 2019

Registered at 2628 SE KIMBROUGH LN, LEES SUMMIT, MO 640631082 (Tel: 8165823508)

πŸ‘€
Provider Name / Credentials (Initial Record) October 03, 2019

Recorded as DARIN ROARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2019

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

🟒
Initial NPI Registration & Enumeration October 03, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437790219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2019
Last Update: March 24, 2025
Sole Proprietor: Yes

Mailing Address

2628 Se Kimbrough Ln

Lees Summit, MO 640631082

Phone: 8165823508

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.