Mohd L Boda (NPI# 1285673038, PAC ID# 8820180482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1285673038 |
| PAC ID by PECOS | 8820180482 |
| Professional Enrollment ID | I20070828000025 |
| Full Name | Mohd L Boda |
| Organization Legal Name | LEE'S SUMMIT FAMILY CARE LLC |
| Address |
2100 Se Blue Pkwy Lee's Summit MO 64063-1007 |
| Phone Number | 8162825000 |
| Gender | M |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4385636778 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170049 | OLATHE MEDICAL CENTER |
| 260190 | LEE'S SUMMIT MEDICAL CENTER |
| 260095 | CENTERPOINT MEDICAL CENTER |
| 260216 | SAINT LUKE'S EAST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 | 8162825000 | LEE'S SUMMIT FAMILY CARE LLC |
| 600 Nw Murray Rd, Lee's Summit Medical Center Hospital, Lee's Summit, MO 64081-1204 | 8165253053 | LEE'S SUMMIT FAMILY CARE LLC |
| 3490 Ne Ralph Powell Rd B, Lees Summit, MO 64064-2377 | 8165547100 | LEE'S SUMMIT FAMILY CARE LLC |
| 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 | 8165242626 | LEE'S SUMMIT FAMILY CARE LLC |
| 10500 Quivira Rd, Overland Park, KS 66215-2306 | 9135415000 | INPATIENT CONSULTANTS OF KANSAS PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LEE'S SUMMIT FAMILY CARE LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Cline | Nurse Practitioner | Lee's Summit Family Care LLC | 3490 Ne Ralph Powell Rd B, Lees Summit, MO 64064-2377 |
| Kelly A Obrien | Family Medicine | Lee's Summit Family Care LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
| Melissa L Smith | Family Medicine | Lee's Summit Family Care LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
| Robyn L Durst | Nurse Practitioner | Lee's Summit Family Care LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
| Cabot L Sweeney | Family Medicine | Lee's Summit Family Care LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
| Leila Koleiny | Family Medicine | Lee's Summit Family Care LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
| Street Address |
2100 SE BLUE PKWY |
| City | LEE'S SUMMIT |
| State | MO |
| Zip | 64063-1007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilmer E Morales-hernandez | Emergency Medicine | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
| Michael S Filla | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Charles I Carino | Emergency Medicine | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
| Megan L Sneed | Obstetrics/gynecology | Womens Center At Brookside LLC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Katherine T Cundiff | Anesthesiology | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Jennifer N Gibson | Nurse Practitioner | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
| Nicole R Cloutier | Emergency Medicine | Blue Parkway Emergency Physicians LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
| Elizabeth A Bertschy | Nurse Practitioner | Kansas City Gastroenterology and Hepatology Physicians Group LLC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Michael J Connor | Gastroenterology | Kansas City Gastroenterology and Hepatology Physicians Group LLC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Kirstin C Hirni | Internal Medicine | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leopoldine E Blaise | Nurse Practitioner | Joy E Cuezze Md LLC | 2160 Se Blue Pkwy, Addington Place of Lees Summit, Lees Summit, MO 64063-1007 |
| Brandon Weckbaugh | Internal Medicine | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| James Stephen Scott | General Surgery | Town Plaza Family Practice LLC | 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 |
| Shubra Srinivas | Internal Medicine | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Paula E Gough | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Shelley Anne Watts | Nurse Practitioner | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Jennifer K Schwarz | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Kansas City PC | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Eric Roychowdhury | Hospitalist | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Richard K Capling | Nephrology | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Nancy Birenboim | Internal Medicine | Kc Hospitalists Pa | 2100 Se Blue Pkwy, Lees Summit Medical Center, Lees Summit, MO 64063-1007 |
| Find all physicians in zip 64063 | |||
| City | LEE'S SUMMIT |
| Zip Code | 64063 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LEE'S SUMMIT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mohd L Boda.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.