Organization Active NPI

Midwest Medical Group, LLC

  • Internal Medicine Physician
  • Lenexa, KS
National Provider Identifier
1861701575
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIDWEST MEDICAL GROUP, LLC
Practice address
11227 Lakeview Ave
Lenexa, KS 66219-1399
Phone
(913) 730-1100
Fax
(913) 730-1101
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Mrs. Mona Sabet Edalati, MBA
Title
Administrator
Phone
(913) 406-1292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11227 Lakeview Ave
Lenexa, KS 66219-1399

Mailing address

15418 Iron Horse Cir
Leawood, KS 66224-3852
Phone (913) 406-1292

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1861701575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15418 IRON HORSE CIR",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662243852",
            "telephone_number": "913-406-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 LAKEVIEW AVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191399",
            "telephone_number": "913-730-1100",
            "fax_number": "913-730-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "EDALATI",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "SABET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "913-406-1292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.