Individual provider Active NPI

Mazen M Dimachkie, M.D.

  • Neurology Physician
  • Kansas City, KS
National Provider Identifier
1932144573
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0432337 Issued in KS
Practice address
3599 Rainbow Blvd # Ms 2012
Kansas City, KS 66103-2078
Phone
(913) 588-6970
Fax
(913) 588-0673
NPI assigned
Jun 18, 2006
Last updated
Nov 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0432337 KS Primary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 0432337 KS

Addresses

Primary practice location

3599 Rainbow Blvd # Ms 2012
Kansas City, KS 66103-2078

Mailing address

2100 W 36TH Ave Ms 2012
Kansas City, KS 66160-1088
Phone (913) 588-6970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20070626000628 KS Practitioner - Neurology 8022117563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

3599 Rainbow Blvd
Kansas City, KS 66103-2078
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0432337KSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Neurology Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jul 1, 2007 Accepting new patients
Kansas University Physicians Inc Neurology CurrentSince Jul 1, 2007 Accepting new patients
Kansas University Physicians Inc Past Accepting new patients
Ozarks Medical Center Neurology Past Accepting new patients

Locations

3599 Rainbow Blvd
Kansas City, KS 66103
Phone (913) 588-1203

3599 Rainbow Blvd
#2012
Kansas City, KS 66103
Phone (405) 640-4201

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

3901 Rainbow Blvd
Stop 4017
Kansas City, KS 66160
Phone (913) 588-6670

Interoperability endpoints

  • Direct secure messaging: mdimachkie6108@direct.kuha.org

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 3

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1932144573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 36TH AVE MS 2012",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661601088",
            "telephone_number": "913-588-6970",
            "fax_number": "913-588-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 RAINBOW BLVD # MS 2012",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032078",
            "telephone_number": "913-588-6970",
            "fax_number": "913-588-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMACHKIE",
        "first_name": "MAZEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "0432337",
            "primary": true
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "KS",
            "license": "0432337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.