Active NPI
Suleiman Daifallah, M.D.
- Nephrology Physician
- North Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 04-38028
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- DaVita Olathe Dialysis
- DaVita Nall Dialysis
- DaVita Nottingham Dialysis
- DaVita Lenexa Dialysis
- University of Kansas Health System Olathe Hospital
- Overland Park Reg Med Ctr
- University of Kansas Hospital
- St Lukes Hospital of Kansas City
- Miami County Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-38028 | KS | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Current | Accepting new patients | |
| Nephrology Associates MD PA | Current | 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
- sdaifallah755560@direct.kuha.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
KS
-
- Family Nurse Practitioner
- Kansas City, MO
- NPI 1003290453
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Paola, KS
- NPI 1881966059
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lenexa, KS
- NPI 1679532402
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Olathe, KS
- NPI 1851350581
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Overland Park, KS
- NPI 1013271410
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Overland Park, KS
- NPI 1265947477
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Olathe, KS
- NPI 1538538673
Dialysis facility
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
-
- General Acute Care Hospital
- Paola, KS
- NPI 1700824398
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.