Awni A Gayed, M.D

Individual provider Active NPI Psychiatry Physician · Leawood, KS

NPI 1124066071 · NPPES record last updated Nov 1, 2007

Key facts

NPI
1124066071
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
04-24354 (KS)
Practice address
10965 Granada LN
201
Leawood, KS 66211-1401
Phone
(913) 685-8387
Fax
(913) 317-8193
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Psychiatry
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10551 Barkley St
Suite 512
Overland Park, KS 66212-1813
Phone (813) 685-8387

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO, KS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080731000530 MO Practitioner - Psychiatry 7911071485 Reassigns benefits to 1 organization
I20081024000692 KS Practitioner - Psychiatry 7911071485 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-24354KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Awni a. Gayed, MD, P.a. Psychiatry Current
since Aug 1, 1994
Accepting new patients

Locations

10551 Barkley St
Ste 512
Overland Park, KS 66212
Phone (913) 205-7049

10965 Granada Ln
Ste 201
Overland Park, KS 66211
Phone (913) 685-8387

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-24354 KS Yes

Addresses

Primary practice location

10965 Granada LN
201
Leawood, KS 66211-1401

Mailing address

9200 W 141St St
Overland Park, KS 66221-2125
Phone (913) 685-0933

Other identifiers

IdentifierTypeStateIssuer
21139027OtherMOBLUE SHIELD KANSAS CITY
207715004MedicaidMO
260044337OtherRAILROAD MEDICARE
100165280BMedicaidKS

Other providers in Leawood, KS

All providers in Leawood, KS · Psychiatry Physician in Kansas

Sources for this page

Verify at the official NPI Registry.