Active NPI
Farahnaz Kousha, MD
- Family Medicine Physician
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30568
- Practice address
- 17203 E 23Rd St S
Independence, MO 64057-1859 - Phone
- (816) 478-5252
- Fax
- (816) 478-5251
- NPI assigned
- Mar 9, 2006
- Last updated
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2004034265 | MO | |
| Family Medicine Physician | 207Q00000X | 30568 | KS | Primary |
Addresses
Primary practice location
17203 E 23Rd St S
Independence, MO 64057-1859
Mailing address
PO Box 838
Shawnee Mission, KS 66201-0838
Phone (913) 469-4244
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 State St
Lexington, MO 64067-1107
Phone (660) 259-2203
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30568 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of Mo, LLC | Emergency Medicine | Current | Accepting new patients |
| Glutality Provider Group, P.a. | Family Medicine | Current | Accepting new patients |
| Carespot Professional Services LLC | Current | Accepting new patients | |
| Midwest Division - LRHC LLC | Current | Accepting new patients | |
| Missouri Em-I Medical Services, P.C. | Emergency Medicine | Past | Accepting new patients |
| Mercy Kansas Communities Inc | Past | Accepting new patients | |
| Carthage Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Little Blue Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
5300 Broken Sound Blvd NW
Ste 200
Boca Raton, FL 33487
Phone (888) 657-2560
3500 W 95th St
Leawood, KS 66206
Phone (913) 305-3167
9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631
1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342
100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
6675 Holmes Rd
Kansas City, MO 64131
Phone (816) 276-7000
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
1500 State St
Lexington, MO 64067
Phone (660) 259-2203
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- farahnaz.kousha@directsbamh.org
- farahnaz.kousha@hca2.eclinicaldirectplus.com
- fkousha914404@ahs.direct-ci.com
Organizations & group practices 8
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.
-
dba Lafayette Regional Health Center
- Critical Access Hospital
- Lexington, MO
- NPI 1639362460
-
- Emergency Medicine Physician
- Independence, MO
- NPI 1023715182
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1083256168
Family Medicine, MO
-
dba CareNow
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1568703783
-
- Emergency Medicine Physician
- Carthage, MO
- NPI 1598893877
-
- Emergency Medicine Physician
- Independence, MO
- NPI 1609154061
-
- Emergency Medicine Physician
- Independence, MO
- NPI 1245518604
-
- Emergency Care Clinic/Center
- Independence, KS
- NPI 1417064957
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lafayette Regional Health Center
- Critical Access Hospital
- Lexington, MO
- NPI 1679520258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1942278700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 838",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662010838",
"telephone_number": "913-469-4244",
"fax_number": "913-469-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17203 E 23RD ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640571859",
"telephone_number": "816-478-5252",
"fax_number": "816-478-5251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUSHA",
"first_name": "FARAHNAZ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2004034265",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "30568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.