Individual provider Active NPI

Amit Mohan, MD

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1184719627
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-44183 Issued in KS
Practice address
4550 W 109TH St Ste 200
Overland Park, KS 66211-1354
Phone
(913) 721-3387
Fax
(816) 875-2597
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006014607 MO
Family Medicine Physician 207Q00000X 04-44183 KS Primary

Addresses

Primary practice location

4550 W 109TH St Ste 200
Overland Park, KS 66211-1354

Mailing address

5101 College Blvd
Leawood, KS 66211-1614
Phone (913) 721-3387

Other identifiers 2

IdentifierTypeStateIssuer
203421508MedicaidMO
30004461290002MedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Amit.Mohan.1@12752.direct.athenahealth.com Direct

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
I20061218000102 MO Practitioner - Family Practice 6204835499 Reassigns benefits to 1 organization
I20250106000301 KS Practitioner - Family Practice 6204835499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 478-4200

4801 College Blvd
Leawood, KS 66211-1628
Phone (913) 721-3387

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
72.61
Promoting interoperability
100
Improvement activities
30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-44183KSMDFamily Medicine Physician
2006014607MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Digestive Health Specialists, LLC PastSince Nov 9, 2025 Accepting new patients
Ascentist Emergency Physicians, LLC PastSince Apr 16, 2023 Accepting new patients
Raymore Medical Group LLC Family Medicine Past Accepting new patients

Locations

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

5101 College Blvd
Overland Park, KS 66211

6427 W 119th St
Overland Park, KS 66209
Phone (913) 202-1700

4550 W 109th St
Ste 200
Overland Park, KS 66211
Phone 9137213387 ext. 13387

4860 College Blvd
Ste 201
Overland Park, KS 66211

4801 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-6451

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

4880 NE Goodview Cir
Lees Summit, MO 64064
Phone (816) 246-1456

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1184719627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 109TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111354",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006014607",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-44183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203421508",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004461290002",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amit.Mohan.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4550 W 109th St Ste 200",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.