Active NPI
Amit Mohan, MD
- Family Medicine Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-44183
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203421508 | Medicaid | MO | |
| 30004461290002 | Medicaid | KS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Amit.Mohan.1@12752.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 04-44183 | KS | MD | Family Medicine Physician |
| 2006014607 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascentist Physicians Group, LLC | Family Medicine | Current | Accepting new patients |
| Digestive Health Specialists, LLC | Past | Accepting new patients | |
| Ascentist Emergency Physicians, LLC | Past | 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.
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Family Medicine, KS
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-
- Family Medicine Physician
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- NPI 1306893003
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.