Individual provider Active NPI

Ahmed Abdelmajeed Elballat, M.D.

  • Cardiovascular Disease Physician
  • Overland Park, KS
National Provider Identifier
1467060251
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
94-11626 Issued in KS
Practice address
10500 Quivira Rd
Overland Park, KS 66215-2373
Phone
(913) 541-5000
NPI assigned
Jul 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 2020017610 MO
Student in an Organized Health Care Education/Training Program 390200000X MO
Cardiovascular Disease Physician 207RC0000X 94-11626 KS Primary

Addresses

Primary practice location

10500 Quivira Rd
Overland Park, KS 66215-2373

Mailing address

12140 Nall Ave Ste 300
Overland Park, KS 66209-2503
Phone (913) 498-7038

Other practice location 1

5721 W 119th St
Overland Park, KS 66209-3753
Phone (913) 498-6000

Other practice location 2

2316 E Meyer Blvd
Kansas City, MO 64132-1199
Phone (816) 276-4000

Other practice location 3

5100 W 110th St Fl 2
Overland Park, KS 66211-1215
Phone (913) 449-1297

Other practice location 4

5100 W 110th St Fl 2
Overland Park, KS 66211-1215
Phone (913) 253-3000

Other names 1

  • Ahmed Abdelmagid Elballat Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-11626KSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
College Park Family Care Center PA Past Accepting new patients
Signature Medical Group of KC, PA PastSince Apr 21, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ahmed.elballat@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1467060251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092503",
            "telephone_number": "913-498-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152373",
            "telephone_number": "913-541-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093753",
            "country_code": "US",
            "telephone_number": "913-498-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2316 E Meyer Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641321199",
            "country_code": "US",
            "telephone_number": "816-276-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 W 110th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111215",
            "country_code": "US",
            "telephone_number": "913-449-1297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 W 110th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111215",
            "country_code": "US",
            "telephone_number": "913-253-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELBALLAT",
        "first_name": "AHMED",
        "middle_name": "ABDELMAJEED",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2020017610",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "94-11626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHMED",
            "last_name": "ELBALLAT",
            "middle_name": "ABDELMAGID",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.