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

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 15 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, Select Physical Therapy Holdings Inc 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 NameDr Michael Jonathan Khadavi
GenderMale
SpecialityPhysical Medicine And Rehabilitation
Experience15 Years
Location10777 Nall Ave Ste 300, Overland Park, 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 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.
IdentifierTypeStateIssuer
1003050204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 2010026613 (Missouri)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 04-37406 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kansas City Orthopaedic InstituteLeawood, KSHospital
Saint Luke's South HospitalOverland park, KSHospital
Adventhealth Shawnee MissionShawnee mission, KSHospital
Lawrence Memorial HospitalLawrence, KSHospital
Menorah Medical CenterOverland park, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dickson Diveley Midwest Orthopaedic Clinic Llc115322547974
Dickson Diveley Midwest Orthopaedic Clinic Llc115322547974
Select Physical Therapy Holdings Inc95370764011487

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 NameDickson Diveley Midwest Orthopaedic Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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.