NPIMap

Individual provider Active NPI

M Obadah Al Chekakie, MD

  • Clinical Cardiac Electrophysiology Physician
  • Shawnee Mission, KS
National Provider Identifier
1982853610
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036111416 Issued in IL
Practice address
9119 W 74TH St
Suite 350
Shawnee Mission, KS 66204-2215
Phone
(913) 789-3290
NPI assigned
Sep 18, 2008
Last updated
Apr 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 036111416 IL Primary

Addresses

Primary practice location

9119 W 74TH St
Suite 350
Shawnee Mission, KS 66204-2215

Mailing address

9119 W 74TH St
Suite 350
Shawnee Mission, KS 66204-2215
Phone (913) 789-3290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209001016 KS Practitioner - Cardiac Electrophysiology 1557417631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7820 W 165TH St
Ahmg OB Hospitalists at South Overland Park
Overland Park, KS 66223-2925
Phone (913) 373-2000

9100 W 74TH St
Merriam, KS 66204-4004

9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036111416ILMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc CurrentSince Nov 15, 2014 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Locations

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

9119 W 74th St
Ste 350
Shawnee Msn, KS 66204
Phone (913) 632-9400

Interoperability endpoints

  • Direct secure messaging: malchekakie661129@adventhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1982853610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "SUITE 350",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042215",
            "telephone_number": "913-789-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "SUITE 350",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042215",
            "telephone_number": "913-789-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL CHEKAKIE",
        "first_name": "M OBADAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036111416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.