Active NPI
Khaled Obeidat
- Internal Medicine Physician
- Joplin, MO
National Provider Identifier
1578295150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2026028687
- Practice address
- 522 W 32ND St Ste 1
Joplin, MO 64804-2533 - Phone
- (417) 782-5000
- NPI assigned
- Jun 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2026028687 | MO | Primary |
| Nephrology Physician | 207RN0300X | 2026028687 | MO |
Addresses
Primary practice location
522 W 32ND St Ste 1
Joplin, MO 64804-2533
Mailing address
522 W 32ND St Ste 1
Joplin, MO 64804-2533
Phone (417) 782-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Mississippi School of Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
522 W 32ND St
Suite 1
Joplin, MO 64804-2533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023880A | IN | MD | Internal Medicine Physician |
Interoperability endpoints
- khaled.obeidat.p1@direct.northshorehealth.nextgenshare.com
- khaled.obeidat.1@2340.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1578295150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W 32ND ST STE 1",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042533",
"telephone_number": "417-782-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W 32ND ST STE 1",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042533",
"telephone_number": "417-782-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBEIDAT",
"first_name": "KHALED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-30",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2026028687",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MO",
"license": "2026028687",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.