Organization Active NPI

Mohab LLC

  • Medical Specialty Clinic/Center
  • Kansas City, MO
National Provider Identifier
1497367361
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MOHAB LLC
Practice address
2100 NW Barry Rd
Kansas City, MO 64154-1000
Phone
(607) 426-7192
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Hameed Ahmad, MDNPI 1144437310
Title
Owner
Phone
(607) 426-7192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2100 NW Barry Rd
Kansas City, MO 64154-1000

Mailing address

10801 W 169TH St
Overland Park, KS 66221-7953

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Insurance@7medical.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200903000133 MO Part B Supplier - Clinic/Group Practice 1153748272 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: insurance@7medical.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1497367361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 W 169TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662217953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541000",
            "telephone_number": "607-426-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "HAMEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-426-7192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Insurance@7medical.com",
            "affiliation": "N",
            "address_1": "4311 Appleton Ave NW",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240172111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.