Individual provider Active NPI

Mohamad Dave Dimachkie, MD

  • Rheumatology Physician
  • Kansas City, MO
National Provider Identifier
1154945012
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2023005756 Issued in MO
Practice address
4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone
(816) 531-0930
Fax
(816) 753-2671
NPI assigned
Jun 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2023005756 MO Primary
Internal Medicine Physician 207R00000X 2023005756 MO

Addresses

Primary practice location

4440 Broadway Blvd
Kansas City, MO 64111-3315

Mailing address

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (816) 531-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250721003340 MO Practitioner - RheumatologyPractitioner - Internal Medicine 7911321591 Reassigns benefits to 1 organization
I20250821004823 KS Practitioner - RheumatologyPractitioner - Internal Medicine 7911321591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Physician Partners IncGroup PAC ID 7911132139, shared by 2 NPIs, 17 clinicians

Practice addresses (Care Compare)

17795 W 106TH St
Suite 102
Olathe, KS 66061-3155
Phone (913) 942-2848

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (816) 561-9200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Physician Partners, Inc. Rheumatology CurrentSince Jul 14, 2025 Accepting new patients
Kansas City Physician Partners Inc Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients

Locations

17795 W 106th St
Ste 102
Olathe, KS 66061
Phone (913) 317-2600

12850 Metcalf Ave
Ste 220
Overland Park, KS 66213
Phone (913) 378-1365

4440 Broadway Blvd
Kansas City, MO 64111
Phone (816) 531-0930

777 NW Blue Pkwy
Ste 3100
Lees Summit, MO 64086
Phone (816) 531-0930

777 NW Blue Pkwy
Lees Summit, MO 64086
Phone (816) 251-0578

Interoperability endpoints

  • Direct secure messaging: mdave.dimachkiemd.p1@direct.kcphypartner.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 3

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1154945012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "816-531-0930",
            "fax_number": "816-753-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "816-531-0930",
            "fax_number": "816-753-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMACHKIE",
        "first_name": "MOHAMAD",
        "middle_name": "DAVE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2023005756",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2023005756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.