A4Me, Professional Association
Organization Active NPI Primary Care Clinic/Center · Shawnee Mission, KS
NPI 1972928935 · NPPES record last updated Feb 27, 2014
Key facts
- NPI
- 1972928935
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 436887 (KS)
- Legal business name
- A4ME, PROFESSIONAL ASSOCIATION
- Practice address
- 9100 W 74TH St
Shawnee Mission, KS 66204-4004 - Phone
- (913) 485-4139
- NPI assigned
- Feb 27, 2014
- Organization subpart
- No
Authorized official
- Name
- Maniza Ehtesham, MD
- Title
- Certifying Officer
- Phone
- (913) 485-4139
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140517000121 | KS | Part B Supplier - Clinic/Group Practice | 0840413936 |
Receives reassigned benefits from 1 practitioner Practice locations: Overland Park, KS |
| O20181106001387 | KS | DME Supplier - Physician - General Practice | 0840413936 | Practice locations: Overland Park, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 436887 | KS | Yes |
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X |
Addresses
Primary practice location
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Mailing address
15400 Larsen St
Overland Park, KS 66221-6807
Other providers in Shawnee Mission, KS
- Lindsey Bagby Abraham
- Accessibility Remodeling LLC
- Shelly L Acord
- Kristin M Adams
- Advantage Dental Implant and Denture, P.a.
All providers in Shawnee Mission, KS · Primary Care Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.