Individual provider Active NPI

Asim Ulusarac, M.D.

  • Psychiatry Physician
  • Kansas City, MO
National Provider Identifier
1730151671
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036187 Issued in MO
Practice address
305 NW Englewood CT
Suite 300
Kansas City, MO 64118-4072
Phone
(816) 453-7473
Fax
(816) 453-1940
NPI assigned
Feb 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036187 MO Primary
Psychiatry Physician 2084P0800X 30981 KS
Psychiatry Physician 2084P0800X 21244 AL

Addresses

Primary practice location

305 NW Englewood CT
Suite 300
Kansas City, MO 64118-4072

Mailing address

12715 W 138TH Ter
Overland Park, KS 66221-4140
Phone (913) 685-0995

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
I20050120000645 MO Practitioner - Psychiatry 1557324266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Psychiatric Associates, LLCGroup PAC ID 0345153581, 4 clinicians
M a Mirza LLCGroup PAC ID 4284865056, 9 clinicians

Practice addresses (Care Compare)

305 NW Englewood CT
Suite 300
Gladstone, MO 64118-4000
Phone 816453747315

4444 N Belleview Ave
Suite 108
Kansas City, MO 64116-1507
Phone (816) 886-2184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21244ALMDPsychiatry Physician
30981KSMDPsychiatry Physician
036187MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M a Mirza, LLC CurrentSince Jan 1, 2026 Accepting new patients
Altapointe Health Systems, Inc. Past Accepting new patients

Locations

4444 N Belleview Ave
Ste 108
Kansas City, MO 64116
Phone (816) 420-0533

4045 NE Lakewood Way
Ste 130
Lees Summit, MO 64064
Phone (816) 886-2184

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.

NPI Registry JSON

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

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1730151671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12715 W 138TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662214140",
            "telephone_number": "913-685-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD CT",
            "address_2": "SUITE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184072",
            "telephone_number": "816-453-7473",
            "fax_number": "816-453-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULUSARAC",
        "first_name": "ASIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-05",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "036187",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "30981",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "21244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.