Khadrah M Alsomali, M.D
Individual provider Active NPI Diagnostic Radiology Physician · Cape Girardeau, MO
NPI 1689019598 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1689019598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 2021024863 (MO)
- Practice address
- 70 Doctors Park
Cape Girardeau, MO 63703-4928 - Phone
- (573) 334-6071
- NPI assigned
- May 6, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cape Radiology Group PC
Mercy Hospital Perry
Practice addresses (Care Compare)
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 651-5543
4022 Yellowfield Way
Cary, NC 27518-7189
Phone (573) 334-6071
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536
Hospital & facility affiliations
- Memorial Hospital of Carbondale
- Saint Francis Medical Center
- Herrin Hospital
- Mercy Health - Lourdes Hospital
- Poplar Bluff Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MO, IL, KY, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210713002812 | MO | Practitioner - Diagnostic Radiology | 6608095930 | Reassigns benefits to 3 organizations |
| I20210716002693 | IL | Practitioner - Diagnostic Radiology | 6608095930 | Reassigns benefits to 1 organization |
| I20230505001787 | KY | Practitioner - Diagnostic Radiology | 6608095930 | Reassigns benefits to 1 organization |
| I20250626001736 | NC | Practitioner - Diagnostic Radiology | 6608095930 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Perry | Current |
Accepting new patients | |
| Mercy Hospital Perry | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Hospital Perry | Current |
Accepting new patients | |
| Cape Radiology Group, P.C. | Diagnostic Radiology | Current |
Accepting new patients |
Locations
517 N Main St
Anna, IL 62906
Phone (618) 833-2295
405 W Jackson St
Carbondale, IL 62901
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
650 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703
Phone (573) 986-4403
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
70 Doctors Park
Cpe Girardeau, MO 63703
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
3255 Independence St
Cpe Girardeau, MO 63701
Phone (573) 331-8026
1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900
611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061
509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045
434 N West St
Perryville, MO 63775
Phone (573) 547-2530
2588 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 778-1277
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2021024863 | MO | Yes |
Addresses
Primary practice location
70 Doctors Park
Cape Girardeau, MO 63703-4928
Mailing address
70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071
Other providers in Cape Girardeau, MO
- Mohammed Alomgir
- Alpha 3 Medical Equipment, LLC
- Alpha Chiro LLC
- Alpha Chiropractic and Wellness
- Alpha Medical, LLC
- Joy Amann
- Jesal Suresh Amin
- Amity Health Services, LLC
- Brandon Lee Anderson
- John C Anderson
All providers in Cape Girardeau, MO · Diagnostic Radiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.