NPIMap

Individual provider Active NPI

Ethar Kadhim Al-Husseinawi, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Kansas City, MO
National Provider Identifier
1760845333
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
2016014174 Issued in MO
Practice address
2411 Holmes St
Kansas City, MO 64108-2741
Phone
(816) 235-6627
NPI assigned
Apr 1, 2016
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2016014174 MO Primary

Addresses

Primary practice location

2411 Holmes St
Kansas City, MO 64108-2741

Mailing address

2411 Holmes St
Kansas City, MO 64108-2741
Phone (816) 235-6627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025000843 KS Practitioner - Pathology 6204127384 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7743

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
University of Kansas Hospital Authority CurrentSince Oct 1, 2023 Accepting new patients
Kansas University Physicians Inc CurrentSince Oct 1, 2023 Accepting new patients
University of Kansas Hospital Authority CurrentSince Oct 1, 2023 Accepting new patients
Kansas University Physicians Inc CurrentSince Oct 1, 2023 Accepting new patients
Ukhs Great Bend, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

514 Cleveland St
Great Bend, KS 67530
Phone (620) 659-2890

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

Interoperability endpoints

  • Direct secure messaging: ealhusseinawi635560@direct.kuha.org

Organizations & group practices 6

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 4

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1760845333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082741",
            "telephone_number": "816-235-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082741",
            "telephone_number": "816-235-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HUSSEINAWI",
        "first_name": "ETHAR",
        "middle_name": "KADHIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2016014174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.