Firas I. Kawtharani, M.D.
Individual provider Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Liberal, KS
NPI 1114152121 · NPPES record last updated May 15, 2018
Key facts
- NPI
- 1114152121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License
- 0440608 (KS)
- Practice address
- 305 W 15TH St Ste 101
Liberal, KS 67901 - Phone
- (620) 624-0732
- Fax
- (620) 624-2569
- NPI assigned
- May 19, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Medical Center
Practice addresses (Care Compare)
121 NW 6TH St
Guymon, OK 73942-4206
Phone (580) 338-3135
305 W 15TH St
101 Orthopedic and Sports Med Care Ctr
Liberal, KS 67901-2455
Phone (620) 624-0732
Hospital & facility affiliations
- Health Watch Health Care of Liberal, LLC
- Health Watch Health Care of Guymon, LLC
- Southwest Medical Center
- Meade District Hospital
- Satanta District Hospital, Clinics, & Ltcu
- Stevens County Hospital
- Memorial Hospital of Texas County Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.79 of 100
- Quality
- 68.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 14 |
| Knee replacement | 32 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 69 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 28 |
| Removal of nail tissue | 15 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AL, KS, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160816001164 | AL | Practitioner - Orthopedic Surgery | 0749592145 | Reassigns benefits to 1 organization |
| I20180316001044 | KS | Practitioner - Orthopedic Surgery | 0749592145 | Reassigns benefits to 3 organizations |
| I20191115001409 | OK | Practitioner - Orthopedic Surgery | 0749592145 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0440608 | KS | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients | |
| Southwest Medical Center | Current |
Accepting new patients | |
| Southwest Medical Center | Current |
Accepting new patients | |
| Southwest Medical Center | Past | Accepting new patients | |
| Southwest Medical Center | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
2130 N Kansas Ave
Liberal, KS 67901
Phone (316) 626-5060
555 W 15th St
Liberal, KS 67901
Phone (620) 624-0702
315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651
305 W 15th St
Ste 101
Liberal, KS 67901
Phone (620) 624-0732
421 Medical Dr
Guymon, OK 73942
Phone (580) 338-3135
121 NW 6th St
Guymon, OK 73942
Phone (580) 338-3135
123 Medical Dr
Guymon, OK 73942
Phone (580) 338-3361
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGBGAA
- firas.kawtharani@directswmedcenter.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 0440608 | KS | Yes |
Addresses
Primary practice location
305 W 15TH St Ste 101
Liberal, KS 67901
Mailing address
PO Box 1215
Liberal, KS 67905-1215
Phone (620) 624-6638
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440608 | Other | KS | STATE LICENSE |
| 201194750A | Medicaid | KS | |
| 200761870A | Medicaid | OK |
Other providers in Liberal, KS
- Rosemary Renata Juarez
- Jury, Farrar and Associates, Doctors of Optometry, PA
- K&T LLC
- Marek J Kaminski
- James J Karlan
- Laci Kinser
- Angela Kirk
- Dennis Knudsen
- Christopher Douglas Koons
- Laurel A Lahita
All providers in Liberal, KS · Sports Medicine (Orthopaedic Surgery) Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.