DR. MICHAEL JONATHAN KHADAVI MD
NPI 1003050204
Physical Medicine & Rehabilitation - Sports Medicine in Overland Park, KS

Active since May 01, 2009PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
10777 NALL AVE STE 300, OVERLAND PARK, KS 66211(913) 642-0200(913) 563-6699 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Aug 19, 2021, Mar 16, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Michael Jonathan Khadavi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL JONATHAN KHADAVI MD (NPI 1003050204) is an individual sports medicine provider in Overland Park, Kansas, licensed in Kansas (04-37406) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2009).

NPPES Registry Identity

NPI1003050204
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDR. MICHAEL JONATHAN KHADAVICredential: MD
Location Address10777 NALL AVE STE 300Overland Park, KS 66211-1330
Mailing Address10777 Nall Ave Ste 300Overland Park, KS 66211-1330 · (913) 642-0200 · Fax (913) 563-6699
Fax(913) 563-6699
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2009
Enumeration DateMay 1, 2009
Last NPPES UpdateSeptember 30, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
NPI 1003050204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Licenses Licensed in KS · 04-37406 Licensed in MO · 2010026613
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
10777 NALL AVE STE 300, Overland Park, KS 66211

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Jonathan Khadavi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921283490
PECOS Enrollment IDI20110427000145, I20141029002409
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
336 services208 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
196 services125 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
192 services143 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
126 services94 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
93 services63 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
72 services45 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

Kansas City Orthopaedic Institute

Acute Care Hospitals · Leawood, KS
OwnershipPhysician
CMS Certification Number170188
Location3651 College BlvdLeawood, KS 66211 · Johnson County

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.96
Promoting Interoperability93
Improvement Activities40
Cost70.46

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Foot and Ankle Surgery)
10777 NALL AVE STE 300
OVERLAND PARK, KS 66211
Physician Assistant (Surgical)
10777 NALL AVE STE 300
OVERLAND PARK, KS 66211
Physician Assistant
10777 NALL AVE STE 300
OVERLAND PARK, KS 66211
Durable Medical Equipment & Medical Supplies
10777 NALL AVE STE 300
OVERLAND PARK, KS 66211
Orthopaedic Surgery
10777 NALL AVE STE 300
OVERLAND PARK, KS 66211
Orthopaedic Surgery
10777 NALL AVE STE 300
OVERLAND PARK, KS 66211
Orthopaedic Surgery
10777 NALL AVE STE 300
OVERLAND PARK, KS 66211
Physician Assistant (Surgical)
10777 NALL AVE STE 300
OVERLAND PARK, KS 66211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Khadavi's NPI number?

The NPI number for Michael Khadavi is 1003050204. It was assigned to this individual provider in the NPPES registry on May 1, 2009.

Where is Michael Khadavi located?

Michael Khadavi practices at 10777 Nall Ave Ste 300, Overland Park, KS 66211. The listed phone number is (913) 642-0200.

What is Michael Khadavi's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Michael Khadavi enrolled in Medicare?

Yes. Michael Khadavi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Khadavi accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Michael Khadavi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Khadavi affiliated with any hospitals?

According to CMS data, Michael Khadavi is affiliated with University Of Kansas Hospital, Adventhealth Shawnee Mission, Saint Luke's South Hospital, Kansas City Orthopaedic Institute and North Kansas City Hospital.

When was this NPI record last updated?

The NPPES record for Michael Khadavi was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.