Individual provider Active NPI

Ahmad Al-Mubaslat, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Saint Joseph, MO
National Provider Identifier
1255328738
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2009036449 Issued in MO
Practice address
901 Heartland Rd Ste 4810
Saint Joseph, MO 64506-6202
Phone
(816) 271-1343
Fax
(816) 271-1321
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 SC27767 SC
Internal Medicine Physician 207R00000X 2009036449 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 41721 KY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2009036449 MO Primary

Addresses

Primary practice location

901 Heartland Rd Ste 4810
Saint Joseph, MO 64506-6202

Mailing address

1000 Carondelet Dr
Provider Enrollment/ Medical Staff Office
Kansas City, MO 64114
Phone (816) 943-5744

Other practice location 1

6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150
Phone (816) 363-7710

Other practice location 2

6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150
Phone (816) 363-7710

Other practice location 3

930 Carondelet Dr
Ste 201
Kansas City, MO 64114
Phone (816) 941-2222

Other identifiers 1

IdentifierTypeStateIssuer
1255328738MedicaidMO

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
I20100612000192 MO Practitioner - EndocrinologyPractitioner - Internal Medicine 9638073901 Reassigns benefits to 1 organization
I20200812002744 KS Practitioner - Endocrinology 9638073901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 588-1227

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

20805 W 151St St
Olathe, KS 66061-7249
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049
  • Miami County Medical Center Hospital, Paola, KS, CCN 170109
  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Merit-based Incentive Payment System (MIPS)

Final score
24.74 of 100Reported as group
Quality
16.27
Promoting interoperability
0
Improvement activities
0
Cost
66.19

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SC27767SCMDInternal Medicine Physician
41721KYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of Kansas City, LLC Internal Medicine CurrentSince Mar 16, 2010 Accepting new patients
Kansas University Physicians Inc Internal Medicine Current Accepting new patients
Kansas University Physicians Inc Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

20805 W 151st St
Ste 224B
Olathe, KS 66061

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

1000 Carondelet Dr
Ofc
Kansas City, MO 64114
Phone (816) 943-7604

6675 Holmes Rd
Ste 550
Kansas City, MO 64131
Phone (816) 363-7710

Organizations & group practices 5

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 6

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1255328738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "address_2": "PROVIDER ENROLLMENT/ MEDICAL STAFF OFFICE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-943-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD STE 4810",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066202",
            "telephone_number": "816-271-1343",
            "fax_number": "816-271-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6675 Holmes Rd",
            "address_2": "Suite 550",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311150",
            "country_code": "US",
            "telephone_number": "816-363-7710",
            "fax_number": "816-363-8414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6675 Holmes Rd",
            "address_2": "Suite 550",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311150",
            "country_code": "US",
            "telephone_number": "816-363-7710",
            "fax_number": "816-363-8414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 Carondelet Dr",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64114",
            "country_code": "US",
            "telephone_number": "816-941-2222",
            "fax_number": "816-941-2282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-MUBASLAT",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "SC27767",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009036449",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "41721",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2009036449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255328738",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.