Active NPI
Amna Ilahe, M.D
- Nephrology Physician
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- R9630
- Practice address
- 3901 Rainbow Blvd # Ms 3002
Kansas City, KS 66160-8500 - Phone
- (913) 588-6074
- Fax
- (913) 588-3867
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 04-36086 | KS | |
| Nephrology Physician | 207RN0300X | R9630 | TX | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd # Ms 3002
Kansas City, KS 66160-8500
Mailing address
3901 Rainbow Blvd # Ms 3002
Kansas City, KS 66160-8500
Phone (913) 588-6074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200973700A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1411 N Beckley Ave
Suite 268
Dallas, TX 75203-1260
Phone (214) 947-4400
3571 W Wheatland Rd
Suite 101
Dallas, TX 75237-3461
Phone (972) 274-5555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-36086 | KS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Dallas Renal Group PA | Nephrology | Current | Accepting new patients |
| Transtreme, LLC | Past | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Locations
1411 N Beckley Ave
Ste 268
Dallas, TX 75203
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
3571 W Wheatland Rd
#101
Dallas, TX 75237
Phone (972) 274-5555
1222 N Bishop Ave
Ste 500
Dallas, TX 75208
Phone (972) 274-5555
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEHCAD
- https://fhir4.healow.com/fhir/r4/HEHCAD/Endpoint/HEHCAD
Organizations & group practices 5
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.
-
- Nephrology Physician
- Dallas, TX
- NPI 1629186168
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
-
- Family Nurse Practitioner
- Kansas City, MO
- NPI 1003290453
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
-
- General Acute Care Hospital
- Midlothian, TX
- NPI 1487271375
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1124220298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD # MS 3002",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-6074",
"fax_number": "913-588-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD # MS 3002",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-6074",
"fax_number": "913-588-3867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILAHE",
"first_name": "AMNA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "04-36086",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "R9630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200973700A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.