Individual provider Active NPI

Ahmed Badawi, MD, PHD

  • Dermatology Physician
  • Joplin, MO
National Provider Identifier
1417319971
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2020027936 Issued in MO
Practice address
3401 McIntosh Cir Ste 200
Joplin, MO 64804-3604
Phone
(417) 347-8066
Fax
(417) 347-8067
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2020027936 MO Primary

Addresses

Primary practice location

3401 McIntosh Cir Ste 200
Joplin, MO 64804-3604

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-8066

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200909002730 MO Practitioner - Dermatology 3779878624 Reassigns benefits to 2 organizations
I20211223000370 KS Practitioner - Dermatology 3779878624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians

Practice addresses (Care Compare)

1000 E 101St Ter
Internal Medicine
Kansas City, MO 64131-3366
Phone (913) 588-1227

3202 McIntosh Cir
Suite 103
Joplin, MO 64804-3686
Phone (417) 347-6605

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

Hospital & facility affiliations

  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Freeman Neosho Hospital Hospital, Neosho, MO, CCN 261331
  • Mercy Specialty Hospital Southeast Kansas Hospital, Galena, KS, CCN 170203

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision32
Removal of skin lesions551
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy296

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Dec 15, 2021 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Dec 15, 2021 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Sep 14, 2020 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 300
Lenexa, KS 66219

3202 McIntosh Cir
Ste 103
Joplin, MO 64804
Phone (417) 347-8318

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

3202 McIntosh Cir
Joplin, MO 64804
Phone (417) 347-3649

3401 McIntosh Cir
Ste 200
Joplin, MO 64804
Phone (417) 347-3703

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

Interoperability endpoints

  • Direct secure messaging: abadawi184001@direct.kuha.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1417319971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-8066",
            "fax_number": "417-347-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 MCINTOSH CIR STE 200",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043604",
            "telephone_number": "417-347-8066",
            "fax_number": "417-347-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAWI",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2020027936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.