Active NPI
Mohammad Mozayen, MD
- Hematology & Oncology Physician
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2015013494
- Practice address
- 19550 E 39TH St S
Suite 315
Independence, MO 64057-2358 - Phone
- (816) 698-8290
- Fax
- (816) 698-8291
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301090172 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 04-38127 | KS | |
| Hematology & Oncology Physician | 207RH0003X | 2015013494 | MO | Primary |
Addresses
Primary practice location
19550 E 39TH St S
Suite 315
Independence, MO 64057-2358
Mailing address
19550 E 39TH St S
Suite 315
Independence, MO 64057-2358
Phone (816) 698-8290
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MOHAMMAD.MOZAYEN@hca2.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5372
12140 Nall Ave
Overland Park, KS 66209-2507
Phone (913) 498-7409
12140 Nall Ave
Suite 210
Overland Park, KS 66209-2503
Phone (913) 906-9364
19600 E 39TH St S
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 282-5000
2000 SE Blue Pkwy
Suite 240
Lees Summit, MO 64063-1045
Phone (816) 282-5821
2100 SE Blue Pkwy
Lees Summit Medical Center
Lees Summit, MO 64063-1007
Phone (816) 282-5000
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4700
3889 S Jackson Dr
Independence, MO 64057-1927
Phone (816) 698-8290
5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000
Hospital & facility affiliations
- Centerpoint Medical Center
- Lee'S Summit Medical Center
- Lafayette Regional Health Center
- Menorah Medical Center
- Overland Park Reg Med Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090172 | MI | MD | Internal Medicine Physician |
| 04-38127 | KS | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Flint | Internal Medicine | Past | Accepting new patients |
| McLaren Flint | Past | Accepting new patients |
Interoperability endpoints
- mohammad.mozayen@hca2.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Flint, MI
- NPI 1154469229
-
- Social Worker
- Flint, MI
- NPI 1356480685
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
- Critical Access Hospital
- Lexington, MO
- NPI 1679520258
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1225085871
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1255378337
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1437340668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19550 E 39TH ST S",
"address_2": "SUITE 315",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572358",
"telephone_number": "816-698-8290",
"fax_number": "816-698-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 E 39TH ST S",
"address_2": "SUITE 315",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572358",
"telephone_number": "816-698-8290",
"fax_number": "816-698-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOZAYEN",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301090172",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KS",
"license": "04-38127",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "2015013494",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MOHAMMAD.MOZAYEN@hca2.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "19550 E 39th St S",
"address_2": "SUITE 315",
"city": "Independence",
"state": "MO",
"country_code": "US",
"postal_code": "640572358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.
- 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.