DR. AMMAR KHALIFA (NPI# 1780677948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780677948 |
| Entity Type | Individual |
| Full Name | DR. AMMAR KHALIFA |
| Credential | MD |
| Practice Address |
11661 College Blvd Overland Park KS 66210-4107 |
| Practice Telephone | 9134328400 |
| Practice Fax Number | 9134328402 |
| Mailing Telephone | 9134328400 |
| Mailing Fax Number | 9134328402 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2018-10-30 |
| NPI Deactivation Date | 03/27/2006 |
| NPI Reactivation Date | 2006-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2001012049 | MO | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 04-29215 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100458250A | 05 | |
| BLUE SHIELD KANSAS CITY | 32534031 | 01 | |
| MO | 205803018 | 05 | |
| KS | FAMILY HEALTH PARTNERS | 463966 | 01 |
| KS | FIRST GUARD PROVIDER NO | 522490 | 01 |
| Street Address |
11661 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016729 | Kansas City Kidney Specialists | Internal Medicine | 11661 College Blvd, Overland Park, KS 66210 | 2018-06-08 |
| 1518317288 | Ammar Khalifa Md LLC | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2016-06-14 |
| 1578912085 | Connie Roe | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2016-06-06 |
| 1679968002 | Amy Rieder | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2015-04-02 |
| 1619377496 | Continuum Health Care | Clinic/Center | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-08-28 |
| 1831514660 | Lydia Muttai | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-03-04 |
| 1558784389 | Kristen Austin | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-01-30 |
| 1265855472 | Emily Dietz | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-01-23 |
| 1710300074 | Shannon Ortman | Nurse Practitioner | 11661 College Blvd, Overland Park, KS 66210-4107 | 2014-01-22 |
| 1114366754 | Steffany R Brockman | Registered Nurse | 11661 College Blvd, Overland Park, KS 66210-4107 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333818 | Kyle Timmerman | Internal Medicine | 10504 Cody St Apt 98, Overland Park, KS 66214-2734 | 2017-05-23 |
| 1215469457 | Syeda Mausumee Hussain | Internal Medicine | 11336 W 121st Ter, Overland Park, KS 66213-1978 | 2017-03-28 |
| 1245686625 | Liveactive Primary Care, LLC | Internal Medicine | 6650 W 110th St Ste 220, Overland Park, KS 66211-1501 | 2016-05-04 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1104207091 | Michael O'bryan | Internal Medicine | 5100 Indian Creek Pkwy, Overland Park, KS 66207 | 2015-06-16 |
| 1235572413 | Thomas Alonzo Cuevas | Internal Medicine | 8249 W 95th St Ste 105, Overland Park, KS 66212-3200 | 2013-04-08 |
| 1528320272 | Sumalatha Muthineni | Internal Medicine | Kc Hospitalists, 5701 W 119th St, Overland Park, KS 66209 | 2012-06-08 |
| 1497017149 | Paul Piezas Pena | Internal Medicine | 10787 Nall Ave Ste 310, Medical Plaza Internal Medicine, Overland Park, KS 66211-1301 | 2012-06-08 |
| 1699031971 | Charles Merrill Stiles | Internal Medicine | 13810 Metcalf Ave, Suite 12219, Overland Park, KS 66223-7810 | 2012-04-11 |
| 1063786242 | Billy Waddell | Internal Medicine | 9134 W 102 Ter, Overland Park, KS 66212-4206 | 2012-03-06 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.