Active NPI
Komla Wella Badjalimbe, C.R.N.A
- Certified Registered Nurse Anesthetist
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43-557411-081
- Practice address
- 3901 Rainbow Blvd
Kansas City, KS 66160-8500 - Phone
- (913) 588-3316
- NPI assigned
- Jun 10, 2016
- Last updated
- Jun 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 43-557411-081 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Mailing address
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-3316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2930 N Stanton St
El Paso, TX 79902-2511
Phone (915) 271-4569
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43-557411-081 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients |
Locations
1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746
2930 N Stanton St
El Paso, TX 79902
Phone (915) 271-4569
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Certified Registered Nurse Anesthetist
- Ottawa, KS
- NPI 1952372450
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Hospitals of Providence Sierra Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1215969787
-
dba The Hospitals of Providence Memorial Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
-
dba The Hospitals of Providence Sierra Campus
- Rehabilitation Hospital Unit
- El Paso, TX
- NPI 1780927277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1275982126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADJALIMBE",
"first_name": "KOMLA",
"middle_name": "WELLA",
"credential": "C.R.N.A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-10",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-557411-081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.