Dr Michael Jonathan Khadavi, MD in Overland Park, KS - Medicare Physical Medicine And Rehabilitation

Dr Michael Jonathan Khadavi, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Overland Park, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2009 and has 16 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Dickson Diveley Midwest Orthopaedic Clinic Llc, Dickson Diveley Midwest Orthopaedic Clinic Llc and his current practice location is 10777 Nall Ave Ste 300, Overland Park, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 642-0200.

Dr Michael Jonathan Khadavi is licensed to practice in Kansas (license number 04-37406) 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 1003050204.

Contact Information

	Dr Michael Jonathan Khadavi, MD
	10777 Nall Ave Ste 300, Overland Park, KS 66211-1330
	(913) 642-0200
	(913) 563-6699

Map and Direction

Physician's Profile

Full Name	Dr Michael Jonathan Khadavi
Gender	Male
Speciality	Physical Medicine And Rehabilitation
Experience	16 Years
Location	10777 Nall Ave Ste 300, Overland Park, 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.

Medical Education and Training:

Dr Michael Jonathan Khadavi attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2009

NPI Data:

NPI Number: 1003050204
Provider Enumeration Date: 05/01/2009
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 8921283490
Enrollment ID: I20110427000145

Medical Identifiers

Medical identifiers for Dr Michael Jonathan Khadavi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003050204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081S0010X	Physical Medicine & Rehabilitation - Sports Medicine	2010026613 (Missouri)	Secondary
2081S0010X	Physical Medicine & Rehabilitation - Sports Medicine	04-37406 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kansas City Orthopaedic Institute	Leawood, KS	Hospital
Adventhealth Shawnee Mission	Shawnee mission, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dickson Diveley Midwest Orthopaedic Clinic Llc	1153225479	71
Dickson Diveley Midwest Orthopaedic Clinic Llc	1153225479	71

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 Michael Jonathan Khadavi allows following entities to bill medicare on his behalf.

Entity Name	Dickson Diveley Midwest Orthopaedic Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669421509 PECOS PAC ID: 1153225479 Enrollment ID: O20031119000939

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 Michael Jonathan Khadavi 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 Address	Practice Location Address
Dr Michael Jonathan Khadavi, MD 10777 Nall Ave Ste 300, Overland Park, KS 66211-1330 Ph: (913) 642-0200	Dr Michael Jonathan Khadavi, MD 10777 Nall Ave Ste 300, Overland Park, KS 66211-1330 Ph: (913) 642-0200

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Overland Park, KS

James Sigler, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6650 W 110th St Ste 210, Overland Park, KS 66211 Phone: 913-558-0058 Fax: 913-871-6412
Dr. Ira Hartley Fishman, DO Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10520 Barkley St, Suite 120, Overland Park, KS 66212 Phone: 913-341-0090 Fax: 913-341-0091
Jennifer E. Finley, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10770 El Monte St, Suite 102, Overland Park, KS 66211 Phone: 913-681-1620 Fax: 913-383-1608
Joseph F Galate, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10777 Nall Ave, Suite 120, Overland Park, KS 66211 Phone: 913-387-2800 Fax: 913-387-2970
Deborah Ruggles, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10701 Nall Ave, Suite 200, Overland Park, KS 66211 Phone: 913-341-5225 Fax: 913-901-0186
Atul T Patel, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10701 Nall Ave, Suite 200, Overland Park, KS 66211 Phone: 913-381-5225 Fax: 913-901-0186

Dr Michael Jonathan Khadavi, MD - Medicare Physical Medicine And Rehabilitation in Overland Park, KS