Active NPI
Assadollah Zainali, MD
- Diagnostic Radiology Physician
- Liberal, KS
National Provider Identifier
1902877921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 04-18506
- Practice address
- 315 W 15TH St
Liberal, KS 67901-2455 - Phone
- (620) 624-1651
- NPI assigned
- Jan 28, 2006
- Last updated
- Dec 2, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 04-18506 | KS | Primary |
Addresses
Primary practice location
315 W 15TH St
Liberal, KS 67901-2455
Mailing address
PO Box 1024
Wichita, KS 67201-1024
Phone (316) 685-6236
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000U1995 | Medicaid | NM | |
| 100193280A | Medicaid | KS | |
| 100029640A | Medicaid | OK | |
| 001282 | Other | KS | BCBS |
| 300022970 | Other | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 04-18506 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmelita Caedo MD Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Enid P C | Diagnostic Radiology | Past | Accepting new patients |
| William H Scott, MD PA | Past | Accepting new patients | |
| Uhs of Oklahoma Inc | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Liberal, KS
- NPI 1730150756
-
dba Southwest Kansas Radiology
- Diagnostic Radiology Physician
- Liberal, KS
- NPI 1033180054
-
- Internal Medicine Physician
- Wichita, KS
- NPI 1720057763
-
- Diagnostic Radiology Physician
- Enid, OK
- NPI 1598748162
-
dba St Mary's Regional Medical Center
- Diagnostic Radiology Physician
- Enid, OK
- NPI 1982795696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1902877921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1024",
"city": "WICHITA",
"state": "KS",
"postal_code": "672011024",
"telephone_number": "316-685-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W 15TH ST",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679012455",
"telephone_number": "620-624-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAINALI",
"first_name": "ASSADOLLAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-28",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-18506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000U1995",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100193280A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100029640A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001282",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300022970",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberal, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.