NPIMap

Organization Active NPI

Primary Care of Kansas Inc

  • Family Medicine Physician
  • Gardner, KS
National Provider Identifier
1285380139
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE OF KANSAS INC
Practice address
314 E Main St Ste 2
Gardner, KS 66030-1314
Phone
(913) 938-4627
Fax
(913) 938-4790
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Saboor Rashid, MDNPI 1316172075
Title
Owner
Phone
(918) 841-6507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

314 E Main St Ste 2
Gardner, KS 66030-1314

Mailing address

314 E Main St Ste 2
Gardner, KS 66030-1314
Phone (913) 938-4627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220414000693 KS Part B Supplier - Clinic/Group Practice 3072909373 Receives reassigned benefits from 12 practitioners
Practice locations: De Soto, KS; Gardner, KS
O20221215001203 MO Part B Supplier - Clinic/Group Practice 3072909373 Receives reassigned benefits from 12 practitioners
Practice locations: Independence, MO; Blue Springs, MO; Pleasant Hill, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2273647Primary Care of Kansas314 E Main Street, Suite 1, Gardner, KS 66030Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Locations

314 E Main St
Ste 2
Gardner, KS 66030
Phone (913) 938-4627

314 E Main St
Ste G
Gardner, KS 66030

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1285380139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST STE 2",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301314",
            "telephone_number": "913-938-4627",
            "fax_number": "913-938-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST STE 2",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301314",
            "telephone_number": "913-938-4627",
            "fax_number": "913-938-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF KANSAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "SABOOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-841-6507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.

Verify at the official NPI Registry.