Individual provider Active NPI

Atef F Israel, MD

  • Pain Medicine (Anesthesiology) Physician
  • Independence, MO
National Provider Identifier
1700867587
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD109218 Issued in MO
Practice address
4911 S Arrowhead Dr
#300
Independence, MO 64055-7005
Phone
(816) 767-3263
NPI assigned
Nov 9, 2005
Last updated
Nov 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD109218 MO Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 04-27858 KS

Addresses

Primary practice location

4911 S Arrowhead Dr
#300
Independence, MO 64055-7005

Mailing address

10301 Hickman Mills Dr
#100
Kansas City, MO 64137-1674
Phone (816) 767-3263

Other identifiers 2

IdentifierTypeStateIssuer
100314320AMedicaidKS
209787308MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100507000593 KS Practitioner - Interventional Pain ManagementPractitioner - Pain Management 1557444015 Reassigns benefits to 1 organization
I20100507000612 MO Practitioner - Interventional Pain ManagementPractitioner - Pain Management 1557444015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Pain Centers LLCGroup PAC ID 9335137546, 9 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 347-5000

19600 E 39TH St
Independence, MO 64057-2301
Phone (816) 698-7000

200 NE Missouri Rd
Lees Summit, MO 64086-4722

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
86.14
Improvement activities
40
Cost
69.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-27858KSMDPain Medicine (Anesthesiology) Physician
MD109218MOMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KC Pain Centers, LLC Pain Medicine CurrentSince Aug 2, 1998 Accepting new patients
Anesthesia Associates of Kansas City PA Past Accepting new patients
Inpatient Consultants of Kansas PA Past Accepting new patients

Locations

5525 W 119th St
Overland Park, KS 66209
Phone (913) 227-0916

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327

19550 E 39th St S
Ste 411
Independence, MO 64057

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

4911 S Arrowhead Dr
Ste 300
Independence, MO 64055
Phone (816) 373-4440

1300 E 104th St
Ste 100
Kansas City, MO 64131
Phone (816) 767-3263

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

200 NE Missouri Rd
Ste 100
Lees Summit, MO 64086
Phone (816) 282-5370

200 NE Missouri Rd
Ste 103
Lees Summit, MO 64086

200 NE Missouri Rd
Ste 306
Lees Summit, MO 64086
Phone (816) 768-6000

Interoperability endpoints

  • Direct secure messaging: atef.israel@kcpain.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1700867587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 HICKMAN MILLS DR",
            "address_2": "#100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641371674",
            "telephone_number": "816-767-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 S ARROWHEAD DR",
            "address_2": "#300",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557005",
            "telephone_number": "816-767-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "ATEF",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "MD109218",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "04-27858",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100314320A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209787308",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.