Individual provider Active NPI

Sobrina Sarah Mohammed, M.B.B.S.

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1679927305
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2019024564 Issued in MO
Practice address
3130 Mersington Ave
Kansas City, MO 64128
Phone
(816) 404-6700
NPI assigned
Apr 19, 2016
Reactivated
Feb 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019024564 MO Primary

Addresses

Primary practice location

3130 Mersington Ave
Kansas City, MO 64128

Mailing address

2310 Holmes St Ste 800
Kansas City, MO 64108-2602
Phone (816) 404-8188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190930001635 MO Practitioner - Internal Medicine 6204166572 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Physicians Internal Medicine CurrentSince Aug 6, 2019 Accepting new patients

Locations

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500

3130 Mersington Ave
Kansas City, MO 64128
Phone (816) 404-6700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1679927305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOLMES ST STE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082602",
            "telephone_number": "816-404-8188",
            "fax_number": "816-421-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 MERSINGTON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64128",
            "telephone_number": "816-404-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "SOBRINA",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2019-11-21",
        "deactivation_date": "2016-12-06",
        "reactivation_date": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2019024564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.