Individual provider Active NPI

Mohammad K Pourakbar, D.O.

  • Internal Medicine Physician
  • Independence, MO
National Provider Identifier
1730193541
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
100561 Issued in MO
Practice address
4811 S Arrowhead Dr
Independence, MO 64055-6981
Phone
(816) 356-5000
Fax
(913) 495-3742
NPI assigned
Jul 28, 2006
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 100561 MO Primary

Addresses

Primary practice location

4811 S Arrowhead Dr
Independence, MO 64055-6981

Mailing address

8550 Marshall Dr Ste 220
Lenexa, KS 66214-1505
Phone (816) 356-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals_ind@encompassmed.direct-ci.net Direct Encompass Medical Group, PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20100312000247 MO Practitioner - Internal Medicine 7911032289 Reassigns benefits to 1 organization
I20260403000683 KS Practitioner - Internal Medicine 7911032289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability KCGroup PAC ID 0143116368, 166 clinicians
Encompass Medical Group PAGroup PAC ID 0143116053, 44 clinicians

Practice addresses (Care Compare)

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

4811 S Arrowhead Dr
Independence, MO 64055-6981
Phone (816) 941-1400

8550 Marshall Dr
Lenexa, KS 66214-1505
Phone (816) 941-1400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100561MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Medical Group, PA Internal Medicine CurrentSince May 1, 2000 Accepting new patients

Locations

8550 Marshall Dr
Overland Park, KS 66214
Phone (816) 941-1400

8550 Marshall Dr
Ste 220
Overland Park, KS 66214
Phone (816) 942-8200

4811 S Arrowhead Dr
Independence, MO 64055
Phone (816) 356-5000

373 W 101st Ter
Kansas City, MO 64114
Phone (816) 941-1400

Organizations & group practices 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1730193541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR STE 220",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141505",
            "telephone_number": "816-356-5000",
            "fax_number": "913-495-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 S ARROWHEAD DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556981",
            "telephone_number": "816-356-5000",
            "fax_number": "913-495-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURAKBAR",
        "first_name": "MOHAMMAD",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "100561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals_ind@encompassmed.direct-ci.net",
            "affiliation": "Y",
            "affiliationName": "Encompass Medical Group, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4811 S Arrowhead Dr",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640556981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.