Active NPI
Ahmed Abdelmajeed Elballat, M.D.
- Cardiovascular Disease Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 94-11626
- 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
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 | 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-11626 | KS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Park Family Care Center PA | Past | Accepting new patients | |
| Signature Medical Group of KC, PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Overland Park, KS
- NPI 1740248772
-
- Durable Medical Equipment & Medical Supplies
- Olathe, KS
- NPI 1750858221
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.