Midwest Medical Consultant LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

MIDWEST MEDICAL CONSULTANT LLC

Practice address

7011 W 121St St
Ste 106
Overland Park, KS 66209-2029

Phone

(913) 884-1055

Fax

(913) 884-1066

NPI assigned

Jul 16, 2014

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David D Edalati, MDNPI 1477669141

Title

President

Phone

(913) 884-1055

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David D Edalati, MD

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1477669141
  Medicare reassignment NPD Authorized official
• Susana Rodriguez-Esler, NP

  • Nurse Practitioner
  • Overland Park, KS
  • NPI 1831856954
  Medicare reassignment NPD
• John S Fried, MD

  • Infectious Disease Physician
  • Overland Park, KS
  • NPI 1689752909
  NPD (past)

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1063829562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 W 121ST ST",
            "address_2": "STE 106",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092029",
            "telephone_number": "913-884-1055",
            "fax_number": "913-884-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 W 121ST ST",
            "address_2": "STE 106",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092029",
            "telephone_number": "913-884-1055",
            "fax_number": "913-884-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "EDALATI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-884-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Division-Oprmc LLC (OPRMC Trauma/Urgent Surgical/Critical Care Services)
• Midwest Divison - Oprmc, LLC (Overland Park Regional Medical Center)
• Midwest Healthcare Services, LLC
• Midwest Heart & Vascular Specialists, LLC
• Midwest Hospital Specialists, P.a.
• Midwest MSK Associates LLC (Midwest MSK Center)
• Midwest Mua Associates LLC
• Midwest Neuroeducational Services
• Midwest Oral & Maxillofacial Surgery, P.a.
• Midwest Oral Surgery Specialists

• Pain Medicine Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pain Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.