MOHAMAD DAVE DIMACHKIE MD
NPI 1154945012
Internal Medicine - Rheumatology in Kansas City, MO

Q: What is Mohamad Dimachkie's NPI number?

The NPI number for Mohamad Dimachkie is 1154945012. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Q: What is Mohamad Dimachkie's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Mohamad Dimachkie was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment

4440 BROADWAY BLVD, KANSAS CITY, MO 64111(816) 531-0930(816) 753-2671 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2026, Jul 8, 2023, Jun 5, 2020 (3 updates tracked since 2020).

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About Mohamad Dave Dimachkie Md NPPES

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

MOHAMAD DAVE DIMACHKIE MD (NPI 1154945012) is an individual rheumatology provider in Kansas City, Missouri, licensed in Missouri (2023005756) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2020).

NPPES Registry Identity

NPI1154945012

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameMOHAMAD DAVE DIMACHKIECredential: MD

Location Address4440 BROADWAY BLVDKansas City, MO 64111-3315

Mailing Address4440 Broadway BlvdKansas City, MO 64111-3315 · (816) 531-0930 · Fax (816) 753-2671

Phone(816) 531-0930

Fax(816) 753-2671

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2020

Enumeration DateJune 5, 2020

Last NPPES UpdateMay 18, 20263 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1154945012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in MO · 2023005756

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2023005756 (MO)

4440 BROADWAY BLVD, Kansas City, MO 64111

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohamad Dave Dimachkie 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 ID7911321591

PECOS Enrollment IDI20250721003340, I20250821004823

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.

Medicare Billing Reassignment

Medicare enrollment records show Mohamad Dimachkie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kansas City Physician Partners Inc

Same address

Rheumatology

4440 BROADWAY BLVD
Kansas City, MO 64111

Reassigned Medicare billing, Missouri and Kansas enrollments
Also billed through NPI 1497182539 (Kansas)
14 clinicians in this Medicare group

NPI 1831531466 (816) 531-0930

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

KALISTA TROMBLEY ENGELMAN DO

Internal Medicine (Rheumatology)