Individual provider Active NPI

Irisa Mahaparn, MD

  • Nephrology Physician
  • Kansas City, KS
National Provider Identifier
1972063113
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA11852600 Issued in NJ
Practice address
3901 Rainbow Blvd
Kansas City, KS 66160-2846
Phone
(913) 588-3974
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9409921 KS
Nephrology Physician 207RN0300X 25MA11852600 NJ Primary

Addresses

Primary practice location

3901 Rainbow Blvd
Kansas City, KS 66160-2846

Mailing address

3901 Rainbow Blvd
Kansas City, KS 66160-2846
Phone (913) 588-3974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250731003806 NJ Practitioner - NephrologyPractitioner - Internal Medicine 7911232616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care of Morris County LLCGroup PAC ID 8022380799, 7 clinicians

Practice addresses (Care Compare)

194 Route 31 N
Suite 100a
Flemington, NJ 08822-5793
Phone (973) 631-6223

290 Madison Ave
BLDG No5
Morristown, NJ 07960-7400
Phone (973) 631-6223

Hospital & facility affiliations

  • DaVita Parsippany Dialysis Dialysis facility, Parsippany, NJ, CCN 312691
  • DaVita Renal Center of Morristown Dialysis facility, Morristown, NJ, CCN 312624
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9409921KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care and Hypertension Center of Central Jersey LLC Nephrology CurrentSince May 22, 2025 Accepting new patients
Kidney Care of Morris County LLC Internal Medicine CurrentSince Jun 2, 2025 Accepting new patients

Locations

194 Route 31
Ste 100A
Flemington, NJ 08822

290 Madison Ave
Ste 2
Morristown, NJ 07960
Phone (201) 704-7578

290 Madison Ave
Ste 5
Morristown, NJ 07960
Phone (973) 538-7171

1350 Hamilton St
Somerset, NJ 08873
Phone (732) 246-2626

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.

Hospital & facility affiliations 5

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1972063113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661602846",
            "telephone_number": "913-588-3974",
            "fax_number": "913-588-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661602846",
            "telephone_number": "913-588-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAPARN",
        "first_name": "IRISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9409921",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA11852600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.