Individual provider Active NPI

Mahmoud Wahba, MD

  • Psychiatry Physician
  • Kansas City, MO
National Provider Identifier
1881658771
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-22768 Issued in KS
Practice address
1010 Carondelet Dr
Suite 405
Kansas City, MO 64114-4859
Phone
(816) 941-0145
Fax
(816) 941-3802
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-22768 KS Primary

Addresses

Primary practice location

1010 Carondelet Dr
Suite 405
Kansas City, MO 64114-4859

Mailing address

PO Box 25833
Overland Park, KS 66225-5833
Phone (913) 248-9693

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
I20060217000099 MO Practitioner - Psychiatry 1557376266 Reassigns benefits to 1 organization
I20080730000116 KS Practitioner - Psychiatry 1557376266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 942-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22768KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahmoud Wahba, M.D., P.a. Psychiatry CurrentSince Oct 1, 2006 Accepting new patients
Roxane S. Bremen, D.O., P.C. Past Accepting new patients

Locations

1415 Maple St
Eudora, KS 66025
Phone (785) 542-2176

1731 N 90th St
Kansas City, KS 66112
Phone (913) 732-5900

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

1010 Carondelet Dr
Ste 405
Kansas City, MO 64114
Phone (816) 886-2184

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881658771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25833",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662255833",
            "telephone_number": "913-248-9693",
            "fax_number": "913-248-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 405",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-941-0145",
            "fax_number": "816-941-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHBA",
        "first_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-22768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.