Mehdi Taghizadeh, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

53-75936-102 Issued in KS

Practice address

14720 Metcalf Ave
Overland Park, KS 66223-2204

Phone

(913) 685-1200

Fax

(913) 685-1245

NPI assigned

Jan 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Mehdi Taghizadeh Other name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid America Pain Clinic LLCGroup PAC ID 7012316870, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid America Pain Clinic LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Overland Park, KS
  • NPI 1699362822
  Medicare reassignment Care Compare group NPD
• Flint Hills Orthopaedics Kansas City, LLC

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1891389623
  Medicare reassignment NPD
• Flint Hills Orthopaedics PA

  • Orthopaedic Surgery Physician
  • Andover, KS
  • NPI 1194256198
  Medicare reassignment NPD
• ASC at Fho

  • Ambulatory Surgical Clinic/Center
  • Andover, KS
  • NPI 1881294171
  NPD (past)
• Physical Therapy at Fho LLC

  • Physical Therapist
  • Andover, KS
  • NPI 1699308882
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1831437987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14720 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232204",
            "telephone_number": "913-685-1200",
            "fax_number": "913-685-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14720 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232204",
            "telephone_number": "913-685-1200",
            "fax_number": "913-685-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGHIZADEH",
        "first_name": "MEHDI",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "102880",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-75936-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHDI",
            "last_name": "TAGHIZADEH",
            "prefix": "MR.",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelly Nicole Tabacchi, DDS
• Jack Taber
• Kaitlyn Tabor-Fry
• Tadros Internal Medicine Consultants, Inc
• Magdy Monir Tadros, MD
• Take Care Health Kansas, PA
• Take Charge, Inc.
• Timothy C Talbert, M.D.
• Robert L Talley, MD
• Tallgrass Chiropractic Center, P.a.

• Adult Health Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Adult Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.