Individual provider Active NPI

Faisal Nazir Ahmad, M.D.

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1912090879
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2001008734 Issued in MO
Practice address
2211 Charlotte St Ste 150
Kansas City, MO 64108-2733
Phone
(816) 404-7030
NPI assigned
Oct 2, 2006
Last updated
May 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2001008734 MO Primary

Addresses

Primary practice location

2211 Charlotte St Ste 150
Kansas City, MO 64108-2733

Mailing address

2211 Charlotte St Ste 150
Kansas City, MO 64108-2733
Phone (816) 404-7030

Other practice location 1

16575 W 119th St
Olathe, KS 66061-7770
Phone (913) 815-5508

Other identifiers 1

IdentifierTypeStateIssuer
205351505MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address faisal.ahmad@centerwell.eclinicaldirectplus.com Direct

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
I20051213000631 MO Practitioner - Internal Medicine 9537180922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

2211 Charlotte St
Kansas City, MO 64108-2733
Phone (816) 404-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (Mo) PC Internal Medicine Current Accepting new patients
University Health Physicians Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

6416 Old Winter Garden Rd
Orlando, FL 32835
Phone (407) 281-1755

19401 E 39th St S
Independence, MO 64057
Phone (816) 490-4277

2211 Charlotte St
#2
Kansas City, MO 64108

3130 Mersington Ave
Kansas City, MO 64128
Phone (816) 404-6700

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

Organizations & group practices 4

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 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1912090879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 CHARLOTTE ST STE 150",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082733",
            "telephone_number": "816-404-7030",
            "fax_number": "855-446-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CHARLOTTE ST STE 150",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082733",
            "telephone_number": "816-404-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16575 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660617770",
            "country_code": "US",
            "telephone_number": "913-815-5508",
            "fax_number": "855-446-7281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "FAISAL",
        "middle_name": "NAZIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001008734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205351505",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "faisal.ahmad@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16575 W 119th St",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660617770",
            "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.