NPIMap

Individual provider Active NPI

Mazin F Al-Kasspooles, MD

  • Surgical Oncology Physician
  • Westwood, KS
National Provider Identifier
1831291137
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
04-31498 Issued in KS
Practice address
2650 Shawnee Mission Pkwy
Westwood, KS 66205-2003
Phone
(913) 588-7750
NPI assigned
Sep 5, 2006
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 04-31498 KS
Surgical Oncology Physician 2086X0206X 04-31498 KS Primary

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 4

IdentifierTypeStateIssuer
35920013OtherMOBCBS KANSAS CITY
207576802MedicaidMO
927869OtherKSFIRSTGUARD
200348460AMedicaidKS

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
I20051103000937 KS Practitioner - Surgical OncologyPractitioner - General Surgery 0840188116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
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 IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

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
Colonoscopy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31498KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Surgery Current Accepting new patients
Kansas University Physicians Inc CurrentSince Oct 3, 2005 Accepting new patients
Kansas University Physicians Inc CurrentSince Oct 3, 2005 Accepting new patients
University of Kansas Hospital Authority Past Accepting new patients
Kansas University Physicians Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

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

3901 Rainbow Blvd
Stop 4017
Kansas City, KS 66160
Phone (913) 588-6670

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

4000 Cambridge St
#2005
Kansas City, KS 66160
Phone (913) 588-6150

11300 Corporate Ave
Ste 300
Lenexa, KS 66219

Interoperability endpoints

  • Direct secure messaging: malkasspooles5937@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 2

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1831291137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST # MS 2005",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-7750",
            "fax_number": "913-945-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SHAWNEE MISSION PKWY",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662052003",
            "telephone_number": "913-588-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KASSPOOLES",
        "first_name": "MAZIN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-31498",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "KS",
            "license": "04-31498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "35920013",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207576802",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "927869",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200348460A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, KS

Sources for this page

Verify at the official NPI Registry.