Active NPI
Ammar Khalifa, M.D., L.L.C.
- Internal Medicine Physician
- Shawnee Mission, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-29215
- Legal business name
- AMMAR KHALIFA, M.D., L.L.C.
- Practice address
- 8901 W 74TH St
Suite 147
Shawnee Mission, KS 66204-2204 - Phone
- (913) 432-8400
- Fax
- (913) 432-8402
- NPI assigned
- Mar 23, 2006
- Last updated
- Dec 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ammar Khalifa, MD
- Title
- President
- Phone
- (913) 432-8400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-29215 | KS | Primary |
Addresses
Primary practice location
8901 W 74TH St
Suite 147
Shawnee Mission, KS 66204-2204
Mailing address
PO Box 932017
Kansas City, MO 64121-2017
Phone (913) 248-9693
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200378130A | Medicaid | KS | |
| 501170401 | Medicaid | MO | |
| 36903019 | Other | MO | BLUE SHIELD KANSAS CITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Ammar Khalifa MD LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Health Nurse Practitioner
- Overland Park, KS
- NPI 1518317288
-
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1619377496
Locations
11661 College Blvd
Overland Park, KS 66210
Phone (913) 432-8400
8901 W 74th St
Ste 147
Shawnee Msn, KS 66204
Phone (913) 404-5400
8901 Troost Ave
Kansas City, MO 64131
Phone (816) 995-2171
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1285603704
-
- Family Nurse Practitioner
- Overland Park, KS
- NPI 1528717659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1508825878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932017",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641212017",
"telephone_number": "913-248-9693",
"fax_number": "913-248-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W 74TH ST",
"address_2": "SUITE 147",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042204",
"telephone_number": "913-432-8400",
"fax_number": "913-432-8402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMMAR KHALIFA, M.D., L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "KHALIFA",
"authorized_official_first_name": "AMMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "913-432-8400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-29215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200378130A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "501170401",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD KANSAS CITY",
"identifier": "36903019",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.