Individual provider Active NPI

Mojtaba S Olyaee, M.D.

  • Gastroenterology Physician
  • Kansas City,, KS
National Provider Identifier
1548363450
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
04-25364 Issued in KS
Practice address
3901 Rainbow Blvd, RM 4035
Wescoe Mailstop 1023
Kansas City,, KS 66160
Phone
(913) 588-6000
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 04-25364 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd, RM 4035
Wescoe Mailstop 1023
Kansas City,, KS 66160

Mailing address

3901 Rainbow Blvd, RM 4035
Wescoe Mailstop 1023
Kansas City,, KS 66160
Phone (913) 588-6003

Other identifiers 4

IdentifierTypeStateIssuer
208066605MedicaidMO
663411OtherKSFIRSTGUARD
25934039OtherMOBCBS KC
100176480AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20070206000524 KS Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - EndocrinologyPractitioner - Other (Physician) 0547262461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy88
Upper gastrointestinal (GI) endoscopy for acid reflux823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-25364KSMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Gastroenterology CurrentSince Jul 1, 2005 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jul 1, 2005 Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

3901 Rainbow Blvd
Rm 4035
Kansas City, KS 66160
Phone (913) 588-6000

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

Interoperability endpoints

  • Direct secure messaging: molyaee6470@direct.kuha.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1548363450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD, RM 4035",
            "address_2": "WESCOE MAILSTOP 1023",
            "city": "KANSAS CITY,",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-6003",
            "fax_number": "913-588-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD, RM 4035",
            "address_2": "WESCOE MAILSTOP 1023",
            "city": "KANSAS CITY,",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLYAEE",
        "first_name": "MOJTABA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "04-25364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208066605",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "663411",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "25934039",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100176480A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City,, KS

Sources for this page

Verify at the official NPI Registry.