Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wylie Craig De Vera, MD

Individual provider Internal Medicine Physician · NPI 1033307376

Dr. Wylie Craig De Vera, MD is an Internal Medicine in Kansas City, Missouri. Graduated from Loma Linda University School of Medicine in 2007, 19 years ago. Practices with Clay Platte Family Medicine Clinic, a 25-clinician group and accepts Medicare assignment. Licensed in Michigan and Missouri.

Years since qualifying
19
Trained at
Loma Linda University School of Medicine
Licensed in
MI, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5501 NW 62nd Ter Ste 100
Kansas City, MO 64151-2412
Phone: (816) 842-4440
Fax: (816) 842-1974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2022026486 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301106085 (MI)

Record details

NPI number1033307376
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2007
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Clay Platte Family Medicine Clinic — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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