Ilia Guearguiev Halatchev, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

2010037285 Issued in MO

Practice address

1010 Walnut St Ste 210
Kansas City, MO 64106-2119

Phone

(314) 943-2429

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1689871360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WALNUT ST STE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062119",
            "telephone_number": "314-943-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WALNUT ST STE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062119",
            "telephone_number": "314-943-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALATCHEV",
        "first_name": "ILIA",
        "middle_name": "GUEARGUIEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2010037285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200016041",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4921 Parkview Pl",
            "address_2": "Div IM Cardiology, Ste 8A",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard L Hair, MA MED
• Lylach Haizler-Cohen, M.D.
• Nour Haj Ali, M.D.
• Mariam Haji Ahmad, M.D.
• Ann Louise Hakan, LPC
• Justin Halberstadt, MSN, MBA, FNP-C
• Margaret Bayley Halbert, APRN
• Ritika Halder, MD
• Lindsey Jo Haldiman
• Stephanie Lane Hale-Kurzava, SLP

• Cardiovascular Disease Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.