David D Edalati (NPI# 1477669141, PAC ID# 8527014976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1477669141 |
| PAC ID by PECOS | 8527014976 |
| Professional Enrollment ID | I20101008000618 |
| Full Name | David D Edalati |
| Organization Legal Name | MIDWEST MEDICAL CONSULTANT LLC |
| Address |
7011 W 121st St Suite 106 Overland Park KS 66209-2009 |
| Phone Number | 9138841055 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153645031 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170176 | OVERLAND PARK REG MED CTR |
| 170014 | RANSOM MEMORIAL HOSPITAL |
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7011 W 121st St, Suite 106, Overland Park, KS 66209-2009 | 9138841055 | MIDWEST MEDICAL CONSULTANT LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MIDWEST MEDICAL CONSULTANT LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia P Surmaczewicz | Physician Assistant | Midwest Medical Consultant LLC | 427 W Main St, Meadowbrook Rehabilitation Hospital, Gardner, KS 66030-1183 |
| Michael P Estivo | Orthopedic Surgery | Midwest Medical Consultant LLC | 427 W Main St, Meadowbrook Rehabilitation Hospital, Gardner, KS 66030-1183 |
| Street Address |
7011 W 121ST ST SUITE 106 |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66209-2009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard B Warner | Psychiatry | 7011 W 121st St, Suite 105, Overland Park, KS 66209-2029 | |
| Mark Lawrence Prochaska | Psychiatry | 7011 W 121st St, Suite 105, Overland Park, KS 66209-2029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane Bisson | Chiropractic | Catalyst Health Center, Pa | 12100 State Line Rd, Leawood, KS 66209-1201 |
| Marcus S Juracek | Chiropractic | Catalyst Health Center, Pa | 12100 State Line Rd, Leawood, KS 66209-1201 |
| David Adam Boender | Chiropractic | Catalyst Health Center, Pa | 12100 State Line Rd, Leawood, KS 66209-1201 |
| Kenneth A Bono | Optometry | 12116 State Line Rd, Leawood, KS 66209-1254 | |
| Mary P Marshall | Psychologist, Clinical | 2221 W 124th St, Leawood, KS 66209-1305 | |
| William J Nowack | Neurology | Remote Neuromonitoring Physicians PC | 12417 Howe Dr, Leawood, KS 66209-1451 |
| Nelopher Hathiary | Internal Medicine | 12720 State Line Rd, Leawood, KS 66209-1619 | |
| Deborah R Hellinger | Diagnostic Radiology | Brfhh Monroe LLC | 13213 Overbrook Rd, Leawood, KS 66209-1628 |
| Michael J Reilly | Emergency Medicine | Kansas City Community Hospital LLC | 13200 State Line Rd, Leawood, KS 66209-1701 |
| Anne Marie B Hall | Emergency Medicine | Kansas City Community Hospital LLC | 13200 State Line Rd, Leawood, KS 66209-1701 |
| Find all physicians in zip 66209 | |||
| City | OVERLAND PARK |
| Zip Code | 66209 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OVERLAND PARK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David D Edalati.
| 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.