Individual provider Active NPI

Suleiman Daifallah, M.D.

  • Nephrology Physician
  • North Kansas City, MO
National Provider Identifier
1982897682
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
04-38028 Issued in KS
Practice address
2790 Clay Edwards Dr
Suite 410
North Kansas City, MO 64116-3276
Phone
(816) 474-9353
NPI assigned
Aug 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 04-38028 KS Primary

Addresses

Primary practice location

2790 Clay Edwards Dr
Suite 410
North Kansas City, MO 64116-3276

Mailing address

2790 Clay Edwards Dr
Suite 410
North Kansas City, MO 64116-3276
Phone (816) 474-9353

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
I20150812008931 KS Practitioner - Nephrology 7315130846 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates MD PAGroup PAC ID 9931012820, 20 clinicians

Practice addresses (Care Compare)

10453 W 84TH Ter
Lenexa, KS 66214-1641
Phone (913) 492-2044

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000

10787 Nall Ave BLDG
Suite 3
Overland Park, KS 66211-1375
Phone (913) 649-2671

11111 Nall Ave
Suite 114
Leawood, KS 66211-1625
Phone (913) 381-0622

12201 W 110TH St
Overland Park, KS 66210-4045
Phone (913) 451-5984

1295 E 151St St
Suite 7
Olathe, KS 66062-3429
Phone (913) 381-0622

1320 S Ash St
Suite 206
Ottawa, KS 66067-3413
Phone (800) 424-6589

14010 W 134TH PL
Nottingham Davita
Olathe, KS 66062-6139
Phone (913) 764-0358

201 E Flaming Rd
Olathe, KS 66061-5343
Phone (913) 829-2273

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 791-4200

328 E Main St
Gardner, KS 66030-1314
Phone (913) 884-8488

732 W Frontier LN
Olathe, KS 66061-7202
Phone (913) 390-4937

8630 Halsey St
Lenexa, KS 66215-2880
Phone (913) 894-1100

Hospital & facility affiliations

  • DaVita Overland Park Dialysis Dialysis facility, Overland Park, KS, CCN 172571
  • DaVita Olathe Dialysis Dialysis facility, Olathe, KS, CCN 172541
  • DaVita Nall Dialysis Dialysis facility, Overland Park, KS, CCN 172555
  • DaVita Nottingham Dialysis Dialysis facility, Olathe, KS, CCN 172565
  • DaVita Lenexa Dialysis Dialysis facility, Lenexa, KS, CCN 172509
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049
  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Miami County Medical Center Hospital, Paola, KS, CCN 170109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-38028KSMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Sep 19, 2020 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Jan 1, 2022 Accepting new patients
Nephrology Associates MD PA CurrentSince Jul 24, 2015 Accepting new patients
Windcreek Dialysis LLC Past Accepting new patients
Transtreme, LLC Past Accepting new patients

Locations

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

1295 E 151st St
Ste 7
Olathe, KS 66062
Phone (913) 381-0622

11111 Nall Ave
Ste 114
Overland Park, KS 66211
Phone (913) 383-1202

1605 E Peoria St
Paola, KS 66071
Phone (913) 294-8417

8901 W 74th St
Ste 328
Shawnee Msn, KS 66204

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

2790 Clay Edwards Dr
Ste 410
North Kansas City, MO 64116
Phone (816) 474-9353

Interoperability endpoints

  • Direct secure messaging: sdaifallah755560@direct.kuha.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: suleiman.daifallah.p1@direct.nephkc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982897682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 410",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-474-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 410",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-474-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIFALLAH",
        "first_name": "SULEIMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KS",
            "license": "04-38028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.