Mohammad Ameen Amanian, MD – Otolaryngology Physician

Key facts

NPI: 1700636883
Entity type: Individual (NPI type 1)
Primary specialty: Otolaryngology Physician 207Y00000X
License: 04-49481 (KS)
Practice address: 4000 Cambridge St
Kansas City, KS 66160-8501
Phone: (913) 588-1229
Fax: (913) 588-6740
NPI assigned: Mar 25, 2024
Sex: Male
Sole proprietor: No

Organizations & group practices 3

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.

Truman Medical Center, Incorporated General Acute Care Hospital · Kansas City, MO · NPI 1144207937

Medicare reassignment NPD MO
Truman Medical Center, Incorporated Otolaryngology Physician · Kansas City, MO · NPI 1184893224

NPD OTOLARYNGOLOGY
Truman Medical Center, Incorporated Mental Health Clinic/Center (Including Community Mental Health Center) · Kansas City, MO · NPI 1225773401

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MO
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
I20240807003387	MO	Practitioner - Otolaryngology	1658817580	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
04-49481	KS	MD	Otolaryngology Physician

Practice roles

Organization	Specialty	Status	New patients
Truman Medical Center, Incorporated		Current	Accepting new patients
Truman Medical Center, Incorporated		Current since Aug 1, 2024	Accepting new patients
Truman Medical Center, Incorporated	Otolaryngology	Current since Aug 1, 2024	Accepting new patients

Locations

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2301 Holmes St
Kansas City, MO 64108

Interoperability endpoints

Direct secure messaging: mamanian739099@direct.kuha.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Otolaryngology Physician	207Y00000X	2024027231	MO
Otolaryngology Physician	207Y00000X	04-49481	KS	Yes

Addresses

Primary practice location

4000 Cambridge St
Kansas City, KS 66160-8501

Mailing address

4000 Cambridge St
Kansas City, KS 66160-8501
Phone (091) 358-8673

Other practice location 1

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

Other providers in Kansas City, KS

All providers in Kansas City, KS · Otolaryngology Physician in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. 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).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.