Individual provider Active NPI

Muhammad Ishaq Farhan, M.D

  • Interventional Pain Medicine Physician
  • Kansas City, MO
National Provider Identifier
1841483542
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
2011008750 Issued in MO
Practice address
2101 Charlotte St
Kansas City, MO 64108-2727
Phone
(816) 404-7800
Fax
(816) 404-6006
NPI assigned
Aug 26, 2007
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-36720 KS
Pain Medicine Physician 208VP0000X 04-36720 KS
Interventional Pain Medicine Physician 208VP0014X 2011008750 MO Primary

Addresses

Primary practice location

2101 Charlotte St
Kansas City, MO 64108-2727

Mailing address

2310 Holmes St
Ste 800
Kansas City, MO 64108-2602
Phone (816) 218-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121228000149 MO Practitioner - Interventional Pain ManagementPractitioner - Other (Physician)Practitioner - PsychiatryPractitioner - Neurology 8729231600 Reassigns benefits to 1 organization
I20160527001482 KS Practitioner - Psychiatry 8729231600 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-36720KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Springs Physician Group LLC Psychiatry CurrentSince Apr 24, 2016 Accepting new patients
University Health Physicians CurrentSince Aug 3, 2015 Accepting new patients

Locations

13351 S Arapaho Dr
Olathe, KS 66062
Phone (913) 353-3000

2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072

2301 Holmes St
Kansas City, MO 64108

2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

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.

NPI Registry JSON

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1841483542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOLMES ST",
            "address_2": "STE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082602",
            "telephone_number": "816-218-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHARLOTTE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082727",
            "telephone_number": "816-404-7800",
            "fax_number": "816-404-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHAN",
        "first_name": "MUHAMMAD",
        "middle_name": "ISHAQ",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-26",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-36720",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KS",
            "license": "04-36720",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MO",
            "license": "2011008750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.