NPIMap

Individual provider Active NPI

Nina Arakelova, MD

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1285603704
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-30422 Issued in KS
Practice address
9100 W 74TH St
Overland Park, KS 66204-4004
Phone
(913) 322-6675
Fax
(913) 766-0021
NPI assigned
Mar 16, 2006
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2002014657 MO
Internal Medicine Physician 207R00000X 04-30422 KS Primary
Hospitalist Physician 208M00000X 04-30422 KS

Addresses

Primary practice location

9100 W 74TH St
Overland Park, KS 66204-4004

Mailing address

PO Box 14143
Lenexa, KS 66285-4143
Phone (913) 634-3540

Other practice location 1

23401 Prairie Star Pkwy Ste 120
Lenexa, KS 66227-7330
Phone (913) 634-3540

Other identifiers 2

IdentifierTypeStateIssuer
100426090CMedicaidKS
205869324MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040304000567 MO Practitioner - Internal MedicinePractitioner - Other (Physician) 0648167403
I20051028000752 KS Practitioner - Internal MedicinePractitioner - Other (Physician) 0648167403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ammar Khalifa MD LLCGroup PAC ID 1557358348, 3 clinicians

Practice addresses (Care Compare)

11661 College Blvd
Suite 100
Overland Park, KS 66210-4104
Phone (913) 954-8500

23401 Prairie Star Pkwy
Suite 120
Lenexa, KS 66227-7330
Phone (913) 676-8550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue204
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-30422KSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ammar Khalifa, M.D., L.L.C. Internal Medicine CurrentSince Dec 11, 2017 Accepting new patients
Midwest Hospital Specialists, P.a. Internal Medicine Past Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients
P & C Consultant Services Hospitalist Past Accepting new patients

Locations

11661 College Blvd
Overland Park, KS 66210
Phone (913) 432-8400

11661 College Blvd
Ste 100
Overland Park, KS 66210
Phone (913) 495-5517

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

Interoperability endpoints

  • Direct secure messaging: drnina@continuum.gwaydirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1285603704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14143",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662854143",
            "telephone_number": "913-634-3540",
            "fax_number": "913-825-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-322-6675",
            "fax_number": "913-766-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23401 Prairie Star Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662277330",
            "country_code": "US",
            "telephone_number": "913-634-3540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARAKELOVA",
        "first_name": "NINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2002014657",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-30422",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "04-30422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100426090C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205869324",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.