Kansas Kids Heart Center, PA

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

04-32074 Issued in KS

Legal business name

KANSAS KIDS HEART CENTER, PA

Practice address

7015 E. Central
Suite 2
Wichita, KS 67206-1946

Phone

(316) 440-8800

Fax

(316) 440-8802

NPI assigned

Mar 5, 2010

Last updated

Mar 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohamad K Al-Ahdab, M.D.NPI 1336172014

Title

President

Phone

(316) 440-8800

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9132/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamad Khaled Al-Ahdab, M.D.

  • Pediatric Cardiology Physician
  • Wichita, KS
  • NPI 1336172014
  Authorized official Same address or phone

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1730402645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 E. CENTRAL",
            "address_2": "SUITE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061946",
            "telephone_number": "316-440-8800",
            "fax_number": "316-440-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 E. CENTRAL",
            "address_2": "SUITE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061946",
            "telephone_number": "316-440-8800",
            "fax_number": "316-440-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS KIDS HEART CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "AL-AHDAB",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-440-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "KS",
            "license": "04-32074",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "44567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kansas Joint & Spine Institute (Kansas Joint and Spine Pain Management Center)
• Kansas Joint & Spine Institute
• Kansas Joint & Spine Institute, Chartered
• Kansas Joint & Spine Specialists, LLC
• Kansas Joint & Spine Specialists, LLC
• Kansas Long Term Care Physicians, LLC
• Kansas Masonic Home
• Kansas Masonic Home, Inc. (Kansas Masonic Home)
• Kansas Masonic Home, Inc.
• Kansas Medical Express LLC

• Pediatric Cardiology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatric Cardiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.