Individual provider Active NPI

Maha Mohamad

  • Internal Medicine Physician
  • Kansas City, KS
National Provider Identifier
1083190763
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
94-09651 Issued in KS
Practice address
3560 Rainbow Blvd Apt 412
Kansas City, KS 66103-2092
Phone
(316) 293-1818
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 94-09651 KS Primary

Addresses

Primary practice location

3560 Rainbow Blvd Apt 412
Kansas City, KS 66103-2092

Mailing address

3560 Rainbow Blvd Apt 412
Kansas City, KS 66103-2092
Phone (316) 293-1818

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717002718 KS Practitioner - RheumatologyPractitioner - Internal Medicine 7719236124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1515 S Clifton Ave
205 Ascension Via Christi Hospitals
Wichita, KS 67218-2958
Phone (316) 274-8188

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Jul 28, 2023 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Jul 28, 2023 Accepting new patients
Via Christi Hospitals Wichita, Inc. Past Accepting new patients

Locations

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

1515 S Clifton Ave
Ste 205
Wichita, KS 67218
Phone (316) 274-8188

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

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 2

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1083190763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 RAINBOW BLVD APT 412",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032092",
            "telephone_number": "316-293-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 RAINBOW BLVD APT 412",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032092",
            "telephone_number": "316-293-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMAD",
        "first_name": "MAHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "94-09651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.