Organization Active NPI

Reema Medical Group of Kansas PA

  • Mental Health Counselor
  • Wichita, KS
National Provider Identifier
1093672321
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REEMA MEDICAL GROUP OF KANSAS PA
Practice address
4601 E Douglas Ave Ste 150
Wichita, KS 67218-1011
Phone
(612) 356-2582
NPI assigned
Jan 8, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Yavar Moghimi, MD
Title
Owner
Phone
(612) 356-2582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4601 E Douglas Ave Ste 150
Wichita, KS 67218-1011

Mailing address

2708 E Lake St Unit 302
Minneapolis, MN 55406-1928
Phone (612) 356-2582

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1093672321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 E LAKE ST UNIT 302",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061928",
            "telephone_number": "612-356-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS AVE STE 150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181011",
            "telephone_number": "612-356-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEMA MEDICAL GROUP OF KANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "MOGHIMI",
        "authorized_official_first_name": "YAVAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-356-2582",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.