Individual provider Active NPI

Mohammad Mozayen, MD

  • Hematology & Oncology Physician
  • Independence, MO
National Provider Identifier
1437340668
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2015013494 Issued in MO
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

Updated by the provider on Feb 9, 2022

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 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

TypeEndpointUseAffiliation
Direct Messaging Address MOHAMMAD.MOZAYEN@hca2.eclinicaldirectplus.com

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
I20150820010043 MO Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2668523606 Reassigns benefits to 1 organization
I20150908002543 KS Practitioner - Medical OncologyPractitioner - Hematology 2668523606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Oncology Associates LLCGroup PAC ID 3779635172, 22 clinicians

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 Hospital, Independence, MO, CCN 260095
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • Lafayette Regional Health Center Hospital, Lexington, MO, CCN 261320
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301090172MIMDInternal Medicine Physician
04-38127KSMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint Internal Medicine Past Accepting new patients
McLaren Flint Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.