Dr Moben Mirza, MD | |
3901 Rainbow Blvd Ms 3016, Dept Of Urology - Univ Of Ks Medical Ctr, Kansas City, KS 66160 | |
(913) 588-7564 | |
(913) 588-6668 |
Full Name | Dr Moben Mirza |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 20 Years |
Location | 3901 Rainbow Blvd Ms 3016, Kansas City, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447399431 | NPI | - | NPPES |
200608190A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2004-0457 (New Mexico) | Secondary |
208800000X | Urology | 2009011507 (Missouri) | Secondary |
208800000X | Urology | 04-33818 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Kansas Hospital | Kansas city, KS | Hospital |
Cameron Regional Medical Center | Cameron, MO | Hospital |
University Of Kansas Health System - St Francis Campus | Topeka, KS | Hospital |
Freeman Health System - Freeman West | Joplin, MO | Hospital |
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kansas University Physicians Inc | 8921911587 | 1456 |
Cameron Regional Medical Center Inc | 5092622001 | 60 |
Performance Plus Rehabilitation Center Llc | 5294791695 | 65 |
Kansas University Physicians Inc | 8921911587 | 1456 |
Entity Name | Kansas University Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
Mailing Address | Practice Location Address |
---|---|
Dr Moben Mirza, MD 3901 Rainbow Blvd Ms 3016, Dept Of Urology - Univ Of Ks Medical Ctr, Kansas City, KS 66160 Ph: (913) 588-7564 | Dr Moben Mirza, MD 3901 Rainbow Blvd Ms 3016, Dept Of Urology - Univ Of Ks Medical Ctr, Kansas City, KS 66160 Ph: (913) 588-7564 |
John A Taylor Iii, MD, MS Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-7564 Fax: 913-588-7625 | |
Dr. Eugene Kang Lee, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Ms 3016, Kansas City, KS 66160 Phone: 913-588-7564 Fax: 913-588-6668 | |
Darcy Sullivan, PA-C Urology Medicare: Medicare Enrolled Practice Location: 4000 Cambridge St # Ms 3016, Kansas City, KS 66160 Phone: 913-588-6146 | |
Dr. Atiyeh Samadi, Urology Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd # Ms 3016, Kansas City, KS 66160 Phone: 913-588-3173 | |
Colby Perkins Souders, Urology Medicare: Medicare Enrolled Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-558-0047 | |
Casey Kowalik, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-0799 | |
Dr. Hadley Wyre, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Ms 3016, Kansas City, KS 66160 Phone: 913-588-6152 Fax: 913-588-0603 |