Individual provider Active NPI

Asem A. Abdeljalil, M.D.

  • Pulmonary Disease Physician
  • Kansas City, MO
National Provider Identifier
1861410706
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2012025620 Issued in MO
Practice address
2301 Holmes St
Department of Medicine
Kansas City, MO 64108-2640
Phone
(816) 404-5001
Fax
(816) 404-5014
NPI assigned
Jul 18, 2006
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2012025620 MO Primary

Addresses

Primary practice location

2301 Holmes St
Department of Medicine
Kansas City, MO 64108-2640

Mailing address

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

Other practice location 1

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-5495

Other identifiers 3

IdentifierTypeStateIssuer
1861410706MedicaidMO
200845250MedicaidIN
P00394437OtherINRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ASEM.ABDELJALIL@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000688 MO Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6305845751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

2521 Glenn Hendren Dr
Suite 402
Liberty, MO 64068-3388
Phone (816) 781-8445

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
69.99
Promoting interoperability
99
Improvement activities
40
Cost
68.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012025620MOMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation CurrentSince Aug 31, 2022 Accepting new patients
New Liberty Hospital Coporation CurrentSince Aug 31, 2022 Accepting new patients
New Liberty Hospital Corporation Current Accepting new patients
Major Hospital Past Accepting new patients
New Liberty Hospital Coporation Past Accepting new patients

Locations

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 402
Liberty, MO 64068
Phone (816) 781-8445

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

Interoperability endpoints

  • Direct secure messaging: asem.abdeljalil@direct.tmcmed.org
  • Direct secure messaging: asem.abdeljalil@hca2.eclinicaldirectplus.com

Organizations & group practices 5

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 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1861410706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOLMES ST 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": "2301 HOLMES ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-5001",
            "fax_number": "816-404-5014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-5495",
            "fax_number": "816-404-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELJALIL",
        "first_name": "ASEM",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2012025620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861410706",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200845250",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00394437",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ASEM.ABDELJALIL@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2301 Holmes St",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641082640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.