Individual provider Active NPI

Yonatan Gizaw, M.D.

  • Internal Medicine Physician
  • Kansas City, KS
National Provider Identifier
1063824068
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0439647 Issued in KS
Practice address
4000 Cambridge 6040 Delp Ms 1020
Kansas City, KS 66160-2304
Phone
(913) 588-6005
NPI assigned
May 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0439647 KS Primary
Internal Medicine Physician 207R00000X TRN20246 FL

Addresses

Primary practice location

4000 Cambridge 6040 Delp Ms 1020
Kansas City, KS 66160-2304

Mailing address

4000 Cambridge 6040 Delp Ms 1020
Kansas City, KS 66160-0001
Phone (913) 588-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803002887 KS Practitioner - HospitalistPractitioner - Internal Medicine 2769775048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN20246FLMDInternal Medicine Physician
0439647KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Kansas University Physicians Inc CurrentSince Sep 1, 2017 Accepting new patients
Kansas University Physicians Inc Internal Medicine Current Accepting new patients

Locations

4000 Cambridge St
#6040
Kansas City, KS 66160
Phone (913) 588-1422

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

Interoperability endpoints

  • Direct secure messaging: ygizaw576289@direct.kuha.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1063824068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE 6040 DELP MS 1020",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6005",
            "fax_number": "913-588-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE 6040 DELP MS 1020",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661602304",
            "telephone_number": "913-588-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIZAW",
        "first_name": "YONATAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0439647",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN20246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.