Individual provider Active NPI

Khaled R Girgis, M.D. PH.D.

  • Allergy & Immunology Physician
  • Overland Park, KS
National Provider Identifier
1104813419
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0429718 Issued in KS
Practice address
11725 W 112TH St
Overland Park, KS 66210-2761
Phone
(913) 469-5579
Fax
(913) 338-1311
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0429718 KS Primary

Addresses

Primary practice location

11725 W 112TH St
Overland Park, KS 66210-2761

Mailing address

PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503

Other practice location 1

12208 W 87th Street Pkwy Ste 180
Overland Park, KS 66215-2896
Phone (913) 428-2581

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khaled.girgis@cpfc.eclinicaldirectplus.com

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
I20100604000381 KS Practitioner - Allergy/ImmunologyPractitioner - Family PracticePractitioner - Pediatric Medicine 2365572161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians

Practice addresses (Care Compare)

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000

10600 Mastin St
Overland Park, KS 66212-5723

11725 W 112TH St
Overland Park, KS 66210-2761
Phone (913) 469-5452

Hospital & facility affiliations

  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
78.92
Promoting interoperability
99
Improvement activities
40
Cost
71.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Surgical Specialties LLC CurrentSince Jan 1, 2013 Accepting new patients
College Park Family Care Center, P.a. Past Accepting new patients

Locations

17050 W 96th St
Lenexa, KS 66219
Phone (913) 359-1771

1803 S Ridgeview Rd
Olathe, KS 66062
Phone (913) 735-4726

801 N Mur Len Rd
Ste 211
Olathe, KS 66062
Phone (913) 451-2253

11164 S Noble Dr
Olathe, KS 66061
Phone (913) 469-6447

10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447

10600 Mastin St
Ste A
Overland Park, KS 66212
Phone (913) 274-2600

12208 W 87th Street Pkwy
Ste 180
Overland Park, KS 66215
Phone (913) 428-2581

10100 W 119th St
Ste 150
Overland Park, KS 66213
Phone (913) 469-8878

11755 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 469-0503

11755 W 112th St
Ste 202
Overland Park, KS 66210
Phone (913) 469-0433

11725 W 112th St
Overland Park, KS 66210
Phone (913) 469-5452

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

15101 Glenwood Ave
Stanley, KS 66223
Phone (913) 681-4934

Interoperability endpoints

  • Direct secure messaging: khaled.girgis@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1104813419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503",
            "fax_number": "913-338-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761",
            "telephone_number": "913-469-5579",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12208 W 87th Street Pkwy Ste 180",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152896",
            "country_code": "US",
            "telephone_number": "913-428-2581",
            "fax_number": "913-338-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "KHALED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KS",
            "license": "0429718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khaled.girgis@cpfc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12208 W 87th Street Pkwy Ste 180",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.