Individual provider Active NPI

Roya Nadji Tehrani, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1164512232
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
2021001779 Issued in MO
Practice address
9001 State Line Rd # 300
Kansas City, MO 64114-3232
Phone
(816) 363-2600
Fax
(816) 523-0068
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2021001779 MO
Internal Medicine Physician 207R00000X 04-40023 KS
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 04-40023 KS
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 2021001779 MO Primary

Addresses

Primary practice location

9001 State Line Rd # 300
Kansas City, MO 64114-3232

Mailing address

9001 State Line Rd # 300
Kansas City, MO 64114-3232
Phone (816) 363-2600

Other names 1

  • Roya Nadji Molloy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20200805001532 KS Practitioner - Internal Medicine 8022292424 Reassigns benefits to 1 organization
I20210719002419 MO Practitioner - Hospice/Palliative Care 8022292424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Hospice IncGroup PAC ID 3971413295, 11 clinicians

Practice addresses (Care Compare)

10100 W 87TH St
Suite 100
Overland Park, KS 66212-4628
Phone (816) 363-2600

9001 State Line Rd
Suite 300
Kansas City, MO 64114-3212
Phone (816) 363-2600

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-40023KSMDInternal Medicine Physician
2021001779MOMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Hospice, Inc Hospice and Palliative Medicine CurrentSince Jul 1, 2021 Accepting new patients
Kansas City Hospice, Inc CurrentSince Jul 1, 2021 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Endeavor Health Medical Group Internal Medicine Past Accepting new patients

Locations

10100 W 87th St
Ste 100
Overland Park, KS 66212
Phone (913) 894-8228

8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570

9001 State Line Rd
Ste 300
Kansas City, MO 64114

Organizations & group practices 4

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1164512232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD # 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143232",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD # 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143232",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI",
        "first_name": "ROYA",
        "middle_name": "NADJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2021001779",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-40023",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "KS",
            "license": "04-40023",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "2021001779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROYA",
            "last_name": "MOLLOY",
            "middle_name": "NADJI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.