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DR. CAMERON ETEBARI MD
NPI 1043950058
Student in an Organized Health Care Education/Training Program in Kansas City, KS

Active since March 29, 2022PECOS Enrolled
4000 CAMBRIDGE ST., MAIL STOP 3015, KANSAS CITY, KS 66160(913) 588-5000 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cameron Etebari Md NPPES

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

DR. CAMERON ETEBARI MD (NPI 1043950058) is an individual student in an organized health care education/training program in Kansas City, Kansas and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043950058
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CAMERON ETEBARICredential: MD
Location Address4000 CAMBRIDGE ST., MAIL STOP 3015Kansas City, KS 66160-8501
Mailing Address259 Doyle AveProvidence, RI 02906-3354 · (480) 570-9450
Phone(913) 588-5000
Sole ProprietorNo
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1043950058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4000 CAMBRIDGE ST., Kansas City, KS 66160
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cameron Etebari Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

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

DANIELLE FLANAGIN
Nurse Practitioner (Family)
4000 CAMBRIDGE ST., MAIL STOP 1044
KANSAS CITY, KS 66160
Wyandotte County (913) 588-3974
ALICIA KATHERINE PETERSON M.D.
Emergency Medicine
4000 CAMBRIDGE ST., DEPT. OF EMERGENCY MEDICINE
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6500
EVAN CHRISTOPHER GLIDEWELL MD
Anesthesiology
4000 CAMBRIDGE ST., MAILSTOP 1034
KANSAS CITY, KS 66160
Wyandotte County (913) 588-5080

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 Cameron Etebari's NPI number?

The NPI number for Cameron Etebari is 1043950058. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Cameron Etebari located?

Cameron Etebari practices at 4000 Cambridge St. Mail Stop 3015, Kansas City, KS 66160. The listed phone number is (913) 588-5000.

What is Cameron Etebari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cameron Etebari enrolled in Medicare?

Yes. Cameron Etebari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cameron Etebari was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.