Individual provider Active NPI

Dana Abdullahi, PA-C

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1285199729
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2019004017 Issued in MO
Practice address
2340 E Meyer Blvd, BLDG 2
Suite 392
Kansas City, MO 64132-0001
Phone
(816) 444-7977
Fax
(816) 361-8938
NPI assigned
Feb 8, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2019004017 MO Primary

Addresses

Primary practice location

2340 E Meyer Blvd, BLDG 2
Suite 392
Kansas City, MO 64132-0001

Mailing address

901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone (630) 655-8320

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190412001119 MO Practitioner - Physician Assistant 9436490851 Reassigns benefits to 1 organization
I20230720002887 KS Practitioner - Physician Assistant 9436490851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17065 S 71 Hwy
Belton, MO 64012-2165
Phone (888) 220-6432

2340 E Meyer Blvd
Suite 392 BLDG 2
Kansas City, MO 64132-1129
Phone (816) 444-7977

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (888) 220-6432

4601 W 109TH St
Suite 100
Overland Park, KS 66211-1313
Phone (913) 942-0540

5701 W 110TH St
Overland Park, KS 66211-2503
Phone (816) 444-7977

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Apr 6, 2023 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Apr 6, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

4601 W 109th St
Ste 100
Overland Park, KS 66211
Phone (913) 491-0765

2340 E Meyer Blvd
Ste 392
Kansas City, MO 64132
Phone (816) 444-7977

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

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.

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1285199729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-655-8320",
            "fax_number": "630-734-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD, BLDG 2",
            "address_2": "SUITE 392",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641320001",
            "telephone_number": "816-444-7977",
            "fax_number": "816-361-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAHI",
        "first_name": "DANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2019004017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.