Individual provider Active NPI

Ahmad W Aslami, D.O.

  • Family Medicine Physician
  • Odessa, MO
National Provider Identifier
1831154210
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2001018644 Issued in MO
Practice address
1280 W US Highway 40
Odessa, MO 64076-9612
Phone
(816) 633-5774
Fax
(816) 633-5936
NPI assigned
Apr 19, 2006
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2001018644 MO Primary

Addresses

Primary practice location

1280 W US Highway 40
Odessa, MO 64076-9612

Mailing address

1280 W US Highway 40
Odessa, MO 64076-9612
Phone (816) 633-5774

Other identifiers 6

IdentifierTypeStateIssuer
010568509MedicaidMO
34695011OtherBCBS
245361019MedicaidMO
540568508MedicaidMO
595956103MedicaidMO
595985805MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041113000151 MO Practitioner - Family Practice 0345204921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Division - LRHC LLCGroup PAC ID 0941119150, 49 clinicians

Practice addresses (Care Compare)

316 W US Hwy 40
Odessa Medical Group
Odessa, MO 64076-7445
Phone (816) 633-5774

609 Golf St
Odessa, MO 64076-1462
Phone (816) 230-7530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001018644MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Division - LRHC LLC CurrentSince Nov 8, 2004 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

1280 W US Highway 40
Odessa, MO 64076
Phone (660) 259-6893

316 W US Highway 40
Odessa, MO 64076
Phone (816) 230-8777

Interoperability endpoints

  • Direct secure messaging: ahmad.aslami@hca2.eclinicaldirectplus.com

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 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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1831154210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 W US HIGHWAY 40",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640769612",
            "telephone_number": "816-633-5774",
            "fax_number": "816-633-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 W US HIGHWAY 40",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640769612",
            "telephone_number": "816-633-5774",
            "fax_number": "816-633-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASLAMI",
        "first_name": "AHMAD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2001018644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010568509",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34695011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245361019",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540568508",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595956103",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595985805",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, MO

Sources for this page

Verify at the official NPI Registry.