Individual provider Active NPI

Nisreen Abbas Haideri, MD

  • Medical Oncology Physician
  • Overland Park, KS
National Provider Identifier
1487682092
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
04-33380 Issued in KS
Practice address
12140 Nall Ave Ste 200
Overland Park, KS 66209-2507
Phone
(913) 498-7409
Fax
(913) 498-7470
NPI assigned
Jun 30, 2006
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2004021784 MO
Hematology & Oncology Physician 207RH0003X 04-33380 KS
Hematology & Oncology Physician 207RH0003X 2004021784 MO
Medical Oncology Physician 207RX0202X 04-33380 KS Primary

Addresses

Primary practice location

12140 Nall Ave Ste 200
Overland Park, KS 66209-2507

Mailing address

12140 Nall Ave Ste 200
Overland Park, KS 66209-2507
Phone (913) 498-7409

Other names 1

  • Nisreen Haideri Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NISREEN.HAIDERI@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000858 MO Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6103872932

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004021784MOMDInternal Medicine Physician
04-33380KSMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Oncology Associates LLC Hematology & Oncology CurrentSince Jul 1, 2019 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

10600 Quivira Rd
Ste 110
Overland Park, KS 66215
Phone (913) 541-5550

12140 Nall Ave
Ste 200
Overland Park, KS 66209
Phone (913) 498-7409

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2000 SE Blue Pkwy
Ste 240
Lees Summit, MO 64063
Phone (816) 282-5821

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: nisreen.haideri@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1487682092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092507",
            "telephone_number": "913-498-7409",
            "fax_number": "913-498-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092507",
            "telephone_number": "913-498-7409",
            "fax_number": "913-498-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDERI",
        "first_name": "NISREEN",
        "middle_name": "ABBAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004021784",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "04-33380",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2004021784",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KS",
            "license": "04-33380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NISREEN.HAIDERI@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4321 Washington St",
            "address_2": "SUITE 4000",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641115905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NISREEN",
            "last_name": "HAIDERI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.