NPIMap

Individual provider Active NPI

Ammar Khalifa, MD

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1780677948
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-29215 Issued in KS
Practice address
11661 College Blvd
Overland Park, KS 66210-4107
Phone
(913) 432-8400
Fax
(913) 432-8402
NPI assigned
Aug 23, 2005
Reactivated
Apr 10, 2006
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-29215 KS Primary
Internal Medicine Physician 207R00000X 2001012049 MO

Addresses

Primary practice location

11661 College Blvd
Overland Park, KS 66210-4107

Mailing address

11661 College Blvd
Overland Park, KS 66210-4107
Phone (913) 432-8400

Other identifiers 5

IdentifierTypeStateIssuer
205803018MedicaidMO
522490OtherKSFIRST GUARD PROVIDER NO
100458250AMedicaidKS
32534031OtherBLUE SHIELD KANSAS CITY
463966OtherKSFAMILY HEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040511001060 MO Practitioner - Internal Medicine 9638062185 Reassigns benefits to 1 organization
I20051115000302 KS Practitioner - Internal Medicine 9638062185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ammar Khalifa MD LLCGroup PAC ID 1557358348, 3 clinicians
Shawnee Mission Internal Medicine LLCGroup PAC ID 5890226922, 2 clinicians
Ability KCGroup PAC ID 0143116368, 166 clinicians

Practice addresses (Care Compare)

11661 College Blvd
Suite 100
Overland Park, KS 66210-4104
Phone (913) 954-8500

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

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

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 Medicine

State licenses

LicenseStateTypeSpecialty
04-29215KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ammar Khalifa, M.D., L.L.C. Internal Medicine CurrentSince Apr 1, 2003 Accepting new patients
Shawnee Mission Internal Medicine LLC Internal Medicine CurrentSince Jul 20, 2024 Accepting new patients
Kansas City United Methodist Retirement Home, Inc. Past Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients
Delmar Gardens of Overland Park Operating, LLC Past Accepting new patients
Delmar Gardens of Lenexa Operating, LLC Past Accepting new patients
Beautiful Savior Home Past Accepting new patients
Ammar Khalifa MD LLC Past Accepting new patients
Midwest Division-Oprmc LLC Past Accepting new patients
Continuum Health Care Past Accepting new patients
Shawnee Mission Medical Center, Inc. Internal Medicine Past Accepting new patients
Shawnee Mission Medical Center Inc Internal Medicine Past Accepting new patients

Locations

11661 College Blvd
Overland Park, KS 66210
Phone (913) 432-8400

11661 College Blvd
Ste 100
Overland Park, KS 66210
Phone (913) 495-5517

10000 Wornall Rd
Kansas City, MO 64114
Phone (816) 942-0001

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
KingswoodKansas City, MO, CCN 265795 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 17, 2012
Dec 17, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1780677948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11661 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104107",
            "telephone_number": "913-432-8400",
            "fax_number": "913-432-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104107",
            "telephone_number": "913-432-8400",
            "fax_number": "913-432-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIFA",
        "first_name": "AMMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-10-30",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-29215",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001012049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205803018",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD PROVIDER NO",
            "identifier": "522490",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100458250A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD KANSAS CITY",
            "identifier": "32534031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "463966",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.