Debra A Ahern, DO
Individual provider Active NPI Family Medicine Physician · Kansas City, MO
NPI 1790749166 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1790749166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 101893 (MO)
- Practice address
- 7900 Lees Summit Rd
Kansas City, MO 64139-1236 - Phone
- (816) 404-7650
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Health Physicians
Practice addresses (Care Compare)
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000
Hospital & facility affiliations
- University Health Lakewood Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100817000582 | MO | Practitioner - Family Practice | 9335273002 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Physicians | Family Medicine | Current |
Accepting new patients |
Locations
606 S Hardy Ave
Independence, MO 64053
Phone (816) 404-5770
4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201
2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
7900 Lees Summit Rd
Fl 1
Kansas City, MO 64139
Phone (816) 478-7904
Interoperability endpoints
- debra.ahern@direct.tmcmed.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 101893 | MO | Yes |
Addresses
Primary practice location
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Mailing address
2310 Holmes St
Ste 800
Kansas City, MO 64108-2602
Phone (816) 404-8188
Other practice location 1
606 S Hardy Ave
Independence, MO 64053-1827
Phone (816) 404-5770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243435708 | Medicaid | MO |
Other providers in Kansas City, MO
- Reynaldo Enguito Agustin
- Thelma Ventura Agustin
- Roomana Ahad
- Ahadi Health Wound Care
- Ahc Home Health of Kansas City LLC
- Tania Ahluwalia
- Faisal Nazir Ahmad
- Hameed Ahmad
- Hamna Ahmad
- Mahmoud Sabri Mohammad Ahmad
All providers in Kansas City, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.