Individual provider Active NPI

Muhammad Mahdi Nashatizadeh, MD

  • Neurology Physician
  • Overland Park, KS
National Provider Identifier
1083730501
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
04-06020 Issued in KS
Practice address
10550 Quivira Rd
Suite 530
Overland Park, KS 66215-2306
Phone
(913) 599-3828
Fax
(913) 599-3451
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 04-06020 KS Primary

Addresses

Primary practice location

10550 Quivira Rd
Suite 530
Overland Park, KS 66215-2306

Mailing address

10550 Quivira Rd
Suite 530
Overland Park, KS 66215-2306
Phone (913) 599-3828

Other identifiers 2

IdentifierTypeStateIssuer
1083730501MedicaidMO
200623770AMedicaidKS

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
I20090930000440 KS Practitioner - Neurology 8123164480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Kansas School of Med (KC/Wich/Sal), 2003
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 66160-0001
Phone (913) 588-6431

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
04-06020KSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Neurology CurrentSince Jan 10, 2016 Accepting new patients
Kansas University Physicians Inc Neurology Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 10, 2016 Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

3901 Rainbow Blvd
Stop 54017
Kansas City, KS 66160

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

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

Interoperability endpoints

  • Direct secure messaging: mnashatizadeh539270@direct.kuha.org

Organizations & group practices 4

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1083730501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD",
            "address_2": "SUITE 530",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "913-599-3828",
            "fax_number": "913-599-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD",
            "address_2": "SUITE 530",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "913-599-3828",
            "fax_number": "913-599-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASHATIZADEH",
        "first_name": "MUHAMMAD",
        "middle_name": "MAHDI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-06020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083730501",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200623770A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.