Active NPI
Abdel K Tayiem, M.D.
- Surgery Physician
- Atchison, KS
National Provider Identifier
1851384309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 04-15418
- Practice address
- 625 Commercial
Ste 7
Atchison, KS 66002 - Phone
- (913) 367-3900
- Fax
- (913) 367-3904
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 04-15418 | KS | Primary |
Addresses
Primary practice location
625 Commercial
Ste 7
Atchison, KS 66002
Mailing address
625 Commercial
Ste. 7
Atchison, KS 66002
Phone (913) 367-3900
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100082110 C | Medicaid | KS | |
| 10898 | Other | COVENTRY HEALTH CARE | |
| 4583740 | Other | AETNA | |
| 136352 | Other | HEALTHLINK | |
| 100082110 B | Medicaid | KS | |
| 1417220534 | Other | GROUP NPI | |
| 08677011 | Other | BLUE CROSS BLUE SHIELD OF KANSAS CITY | |
| 1700416 | Other | UNITED HEALTH CARE | |
| 002603 | Other | BLUE CROSS BLUE SHIELD OF KANSAS | |
| 200650307 | Other | MO | MEDICAID OF MISSOURI |
| 3742 | Other | PREFERRED HEALTH SYTEMS | |
| 020009556 | Other | PALMETTO GBA -RAILROAD MEDICARE |
Other names 1
- A K Tayiem
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-15418 | KS | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1851384309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 COMMERCIAL",
"address_2": "STE. 7",
"city": "ATCHISON",
"state": "KS",
"postal_code": "66002",
"telephone_number": "913-367-3900",
"fax_number": "913-367-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 COMMERCIAL",
"address_2": "STE 7",
"city": "ATCHISON",
"state": "KS",
"postal_code": "66002",
"telephone_number": "913-367-3900",
"fax_number": "913-367-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYIEM",
"first_name": "ABDEL",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "KS",
"license": "04-15418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100082110 C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE",
"identifier": "10898",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4583740",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "136352",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100082110 B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1417220534",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF KANSAS CITY",
"identifier": "08677011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1700416",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF KANSAS",
"identifier": "002603",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OF MISSOURI",
"identifier": "200650307",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH SYTEMS",
"identifier": "3742",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA -RAILROAD MEDICARE",
"identifier": "020009556",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "A",
"last_name": "TAYIEM",
"middle_name": "K",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Atchison, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.