Individual provider Active NPI

Tina Khaleghi

  • Pediatrics Physician
  • Overland Park, KS
National Provider Identifier
1134481328
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-47289 Issued in KS
Practice address
7450 W 135TH St
Overland Park, KS 66223-1211
Phone
(913) 888-4567
Fax
(913) 888-1277
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2015014710 MO
Pediatrics Physician 208000000X 04-47289 KS Primary

Addresses

Primary practice location

7450 W 135TH St
Overland Park, KS 66223-1211

Mailing address

7450 W 135TH St
Overland Park, KS 66223-1211
Phone (913) 888-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-47289KSMDPediatrics Physician
2015014710MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Mercy - Pediatric Partners, Inc Pediatrics CurrentSince Nov 12, 2023 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Locations

2111 E Kansas City Rd
Olathe, KS 66061
Phone (913) 220-5724

7450 W 135th St
Overland Park, KS 66223
Phone (913) 888-4567

Interoperability endpoints

  • Direct secure messaging: tkhaleghi755656@direct.kuha.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1134481328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231211",
            "telephone_number": "913-888-4567",
            "fax_number": "913-888-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231211",
            "telephone_number": "913-888-4567",
            "fax_number": "913-888-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALEGHI",
        "first_name": "TINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2015014710",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-47289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.