Mohamad Khaled Al-Ahdab, M.D.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

04-32074 Issued in KS

Practice address

7015 E. Central
Suite 2
Wichita, KS 67206-1946

Phone

(316) 440-8800

Fax

(316) 440-8802

NPI assigned

Jul 8, 2006

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mo Ahdab Other name

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9132/brand/1/csg/1/fhir/r4
• Direct secure messaging: mohamad.al-ahdab.1@26931.direct.athenahealth.com
• Direct secure messaging: mohamad.al-ahdab.1@9132.direct.athenahealth.com
• Direct secure messaging: mohamad.al.ahdab.1@10051.direct.athenahealth.com

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.

• Kansas Kids Heart Center, PA

  • Pediatric Cardiology Physician
  • Wichita, KS
  • NPI 1730402645
  Authorized official Same address or phone
• Kiddos Health, SC

  dba Kiddos Health and Urgent Care

  • Pediatric Cardiology Physician
  • Lombard, IL
  • NPI 1558759738
  Authorized official Same address or phone
• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Weight Management

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
  • NPI 1831185065
  NPD (past)
• Axiom Clinic SC

  dba Kids Heart Clinic

  • Pediatric Cardiology Physician
  • Dyer, IN
  • NPI 1619569654
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1336172014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 E CENTRAL AVE",
            "address_2": "SUITE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061943",
            "telephone_number": "316-440-8800",
            "fax_number": "316-440-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 E. CENTRAL",
            "address_2": "SUITE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061946",
            "telephone_number": "316-440-8800",
            "fax_number": "316-440-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-AHDAB",
        "first_name": "MOHAMAD",
        "middle_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036105004",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "KS",
            "license": "04-32074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MO",
            "last_name": "AHDAB",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Layth Al Attar, M.D.
• Ahmad Al Masry, MD
• Fadi Jamil Odeh Al Muhaisen
• Maisam Al Patty
• Nader Al Souky, MD
• Daly Al-Hadeethi
• Ammar Al-Obaidi, MD
• Ghiyath Al-Tabbal, M.D.
• Peace Ojimaojo Alabi, MD
• Tasneem Saleh Alaqzam

• Pediatric Cardiology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatric Cardiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.