Mazin F Al-Kasspooles, MD
Individual provider Active NPI Surgical Oncology Physician · Westwood, KS
NPI 1831291137 · NPPES record last updated Jan 26, 2022
Key facts
- NPI
- 1831291137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Oncology Physician 2086X0206X
- License
- 04-31498 (KS)
- Practice address
- 2650 Shawnee Mission Pkwy
Westwood, KS 66205-2003 - Phone
- (913) 588-7750
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Surgical Oncology
- Education
- University of Michigan Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kansas University Physicians Inc
Practice addresses (Care Compare)
4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227
Hospital & facility affiliations
- University of Kansas Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20051103000937 | KS | Practitioner - Surgical Oncology |
0840188116 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-31498 | KS | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current |
Accepting new patients | |
| Kansas University Physicians Inc | Current |
Accepting new patients | |
| Kansas University Physicians Inc | Surgery | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients | |
| University of Kansas Hospital Authority | Past | Accepting new patients | |
| Kansas University Physicians Inc | Past | Accepting new patients |
Locations
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
3901 Rainbow Blvd
Stop 1037
Kansas City, KS 66160
Phone (913) 588-7232
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
4000 Cambridge St
#2005
Kansas City, KS 66160
Phone (913) 588-1214
3901 Rainbow Blvd
Stop 4017
Kansas City, KS 66160
Phone (913) 588-6670
11300 Corporate Ave
Ste 300
Lenexa, KS 66219
Interoperability endpoints
- malkasspooles5937@direct.kuha.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 04-31498 | KS | |
| Surgical Oncology Physician | 2086X0206X | 04-31498 | KS | Yes |
Addresses
Primary practice location
2650 Shawnee Mission Pkwy
Westwood, KS 66205-2003
Mailing address
4000 Cambridge St # Ms 2005
Kansas City, KS 66160-8501
Phone (913) 588-7750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207576802 | Medicaid | MO | |
| 927869 | Other | KS | FIRSTGUARD |
| 35920013 | Other | MO | BCBS KANSAS CITY |
| 200348460A | Medicaid | KS |
Other providers in Westwood, KS
- Saqib Hussen Abbasi
- Haitham M Abdelhakim
- Sunil Abhyankar
- Phillip Pete Acosta
- Nausheen Ahmed
- All Star Chiropractic, Inc.
- Raed Moh'D Taiseer Alrajabi
- Neda Amirmokhtari
- Tahani Saleh Atieh
- Joaquina Celebre Baranda
All providers in Westwood, KS · Surgical Oncology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2022. 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.