Active NPI
Nisreen Abbas Haideri, MD
- Medical Oncology Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 04-33380
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050324000858 | MO | Practitioner - Hematology/Oncology | 6103872932 |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/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
| License | State | Type | Specialty |
|---|---|---|---|
| 2004021784 | MO | MD | Internal Medicine Physician |
| 04-33380 | KS | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Oncology Associates LLC | Hematology & Oncology | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Kansas City, MO
- NPI 1699911677
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leawood, KS
- NPI 1457364408
-
dba Menorah Medical Center
- General Acute Care Hospital
- Overland Park, KS
- NPI 1255378337
-
dba Overland Park Regional Medical Center
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
-
dba Lee's Summit Medical Center
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1225085871
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.