Dr Atabak Asvadi Kermani, MD - Medicare Family Practice in Leavenworth, KS

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Dr Atabak Asvadi Kermani, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Leavenworth, Kansas. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Theoria Medical, Miami County Medical Center Inc, Emergency Medicine Services Of Ks, Pa, Theoria Medical and his current practice location is 3500 S 4th St, Leavenworth, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 680-6000.

Dr Atabak Asvadi Kermani is licensed to practice in Missouri (license number 2021045661) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407383870.

Contact Information

Dr Atabak Asvadi Kermani, MD
3500 S 4th St,
Leavenworth, KS 66048-5043
(913) 680-6000
Not Available

Map and Direction




Physician's Profile

Full NameDr Atabak Asvadi Kermani
GenderMale
SpecialityFamily Practice
Experience15 Years
Location3500 S 4th St, Leavenworth, Kansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Atabak Asvadi Kermani graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1407383870
  • Provider Enumeration Date: 05/17/2017
  • Last Update Date: 01/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4880963842
  • Enrollment ID: I20221012003852

Medical Identifiers

Medical identifiers for Dr Atabak Asvadi Kermani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407383870NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD-46501 (Iowa)Secondary
207QG0300XFamily Medicine - Geriatric Medicine 04-45327 (Kansas)Secondary
207QG0300XFamily Medicine - Geriatric Medicine 2021045661 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Continua Home HealthLeawood, KSHome health agency
Kansas City Hospice And Palliative CareOverland park, KSHospice
Kansas City Hospice And Palliative CareKansas city, MOHospice
Miami County Medical CenterPaola, KSHospital
Northland Rehabilitation & Health Care CenterKansas city, MONursing home
Tiffany Springs Rehabilitation & Health Care CenteKansas city, MONursing home
Spring Hill Care And RehabSpring hill, KSNursing home
Monterey Park Rehabilitation & Health Care CenterIndependence, MONursing home
Brighton Gardens Of Prairie VillagePrairie village, KSNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Theoria Medical5395098339414
Miami County Medical Center Inc216331145718
Emergency Medicine Services Of Ks, Pa438500969534
Theoria Medical5395098339414

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Atabak Asvadi Kermani allows following entities to bill medicare on his behalf.
Entity NameGeneral John J Pershing Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982612461
PECOS PAC ID: 2860306750
Enrollment ID: O20031117000114
Entity NameMacon County Samaritan Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548215106
PECOS PAC ID: 1456261395
Enrollment ID: O20040121000179
Entity NameSaint Luke's Hospital Of Trenton
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841274057
PECOS PAC ID: 3971495532
Enrollment ID: O20040327000339
Entity NameSaint Lukes Hospital Of Chillicothe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245433127
PECOS PAC ID: 0143130393
Enrollment ID: O20041014000548
Entity NameGeneral John J Pershing Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487616256
PECOS PAC ID: 2860306750
Enrollment ID: O20050422000230
Entity NameRipley Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720606023
PECOS PAC ID: 1254757446
Enrollment ID: O20200819000175
Entity NameEmergency Medicine Services Of Mo Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023715182
PECOS PAC ID: 1951766559
Enrollment ID: O20230710001430
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20240919002593

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Atabak Asvadi Kermani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Atabak Asvadi Kermani, MD
1800 S Swope Dr,
Independence, MO 64057-1084

Ph: () -		Dr Atabak Asvadi Kermani, MD
3500 S 4th St,
Leavenworth, KS 66048-5043

Ph: (913) 680-6000

Reviews and Comments


Family Medicine Doctors in Leavenworth, KS

Amy J Frick, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 1001 6th Ave, Suite 300, Leavenworth, KS 66048
Phone: 913-682-5588    Fax: 913-682-2698
David Grant Elcock, MD
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Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2000    
Mary Shancy Francis, M.D.
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Medicare: Medicare Enrolled
Practice Location: Munson Army Health Center 550 Pope Ave, Leavenworth, KS 66027
Phone: 913-684-6000    Fax: 913-684-6525
Micaela J Leighton, MD
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Practice Location: 1100 N 4th St, Leavenworth, KS 66048
Phone: 913-297-9628    
Sahbrennah Smith, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 3601 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2600    Fax: 913-682-2622
Janelle K Riley, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 818 N 7th St, Leavenworth, KS 66048
Phone: 913-651-8860    Fax: 913-682-4409
Dr. Samuel L Dandar, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1001 6th Ave, Ste. 320, Leavenworth, KS 66048
Phone: 913-651-6565    Fax: 913-651-2087

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.