Individual provider Active NPI

Abid Raza Khan, MD

  • Nephrology Physician
  • Kansas City, MO
National Provider Identifier
1548396336
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2008006956 Issued in MO
Practice address
2340 E Meyer Blvd, BLDG 2
Suite
Kansas City, MO 64132
Phone
(816) 276-1700
Fax
(816) 276-1703
NPI assigned
Feb 26, 2007
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0433008 KS
Nephrology Physician 207RN0300X 2008006956 MO Primary

Addresses

Primary practice location

2340 E Meyer Blvd, BLDG 2
Suite
Kansas City, MO 64132

Mailing address

2340 E Meyer Blvd, BLDG 2
Suite
Kansas City, MO 64132
Phone (816) 276-1700

Other identifiers 1

IdentifierTypeStateIssuer
2008586050AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080723000783 MO Practitioner - NephrologyPractitioner - Internal Medicine 9234202276 Reassigns benefits to 1 organization
I20080725000051 KS Practitioner - NephrologyPractitioner - Internal Medicine 9234202276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Nephrology Consultants PAGroup PAC ID 9931195112, 9 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 276-1700

19401 E 37TH Terrace CT S
Independence, MO 64057-2318
Phone (816) 276-1700

19403 E 37TH Terrace CT S
Independence, MO 64057-2318
Phone (816) 276-1700

19600 E 39TH St S
Independence, MO 64057-2301
Phone (816) 276-1700

201 NW Rd Mize Rd
Blue Springs, MO 64014-2513
Phone (816) 276-1700

2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Phone (816) 276-1700

500 NW 68TH St
Kansas City, MO 64118-2455
Phone (816) 276-1700

505 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5477
Phone (816) 276-1700

8901 W 74TH St
Suite 120
Shawnee Mission, KS 66204-2201
Phone (816) 276-1700

904 Wollard Blvd
Richmond, MO 64085-2229
Phone (816) 276-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0433008KSMDNephrology Physician
2008006956MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Nephrology Consultants PA Nephrology CurrentSince Jul 1, 2008 Accepting new patients

Locations

8901 W 74th St
Ste 120
Shawnee Msn, KS 66204
Phone (913) 432-5052

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

19403 E 37th Terrace Ct S
Independence, MO 64057
Phone (816) 276-1701

2340 E Meyer Blvd
Ste 480
Kansas City, MO 64132
Phone (816) 276-1770

6400 Prospect Ave
Ste 480
Kansas City, MO 64132
Phone (816) 444-4806

904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432

Interoperability endpoints

  • Direct secure messaging: abidkhan@mncpa.allscriptsdirect.net
  • Direct secure messaging: akhan746241@direct.ochin.org

Organizations & group practices 1

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 9

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1548396336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD, BLDG 2",
            "address_2": "SUITE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64132",
            "telephone_number": "816-276-1700",
            "fax_number": "816-276-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD, BLDG 2",
            "address_2": "SUITE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64132",
            "telephone_number": "816-276-1700",
            "fax_number": "816-276-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABID",
        "middle_name": "RAZA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "0433008",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2008006956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008586050A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.