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RADIYA AFNAN SHABAZZ
NPI 1225875156
Speech-Language Pathologist in Kansas City, MO

Active since July 09, 2024Accepts Medicare Assignment
8559 N LINE CREEK PKWY, KANSAS CITY, MO 64154(816) 468-8282 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Radiya Afnan Shabazz NPPES

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

RADIYA AFNAN SHABAZZ (NPI 1225875156) is an individual speech-language pathologist provider in Kansas City, Missouri, licensed in Missouri (2024027036) and active in the NPI registry since July 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1225875156
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameRADIYA AFNAN SHABAZZ
Location Address8559 N LINE CREEK PKWYKansas City, MO 64154-2100
Mailing Address3907 Campbell StKansas City, MO 64110-1111 · (216) 973-2553
Phone(816) 468-8282
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1225875156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MO · 2024027036
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
8559 N LINE CREEK PKWY, Kansas City, MO 64154
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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

Radiya Afnan Shabazz 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 ID6103361837
PECOS Enrollment IDI20240717002173

Medicare Billing Reassignments

2

Medicare enrollment records show Radiya Shabazz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Key Rehabilitation Inc
146 mi
Rehabilitation Unit
300 W AIRPORT DR
Carthage, MO 64836
  • Reassigned Medicare billing, Missouri enrollment
  • 41 clinicians in this Medicare group
NPI 1588781686 (888) 362-8704
Empowerme Rehabilitation Missouri LLC
224 mi
Multi-Specialty
1800 1ST CAPITOL DR
Saint Charles, MO 63301
  • Reassigned Medicare billing, Missouri enrollment
  • 268 clinicians in this Medicare group
NPI 1417479494 (844) 502-7996

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

Other Providers at the Same Location NPPES 7

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

MRS. CHRISTINA MARIE RODRIGUEZ DPT
Physical Therapist
8559 N LINE CREEK PKWY
KANSAS CITY, MO 64154
Platte County (816) 545-9790
RAQUEL DESIREE MALLETT
Occupational Therapy Assistant
8559 N LINE CREEK PKWY
KANSAS CITY, MO 64154
Platte County (816) 468-2011
DANIELLE NICOLE PAINTER PTA
Physical Therapy Assistant
8559 N LINE CREEK PKWY
KANSAS CITY, MO 64154
Platte County (816) 468-8282
ERIC O RONDEAU DPT
Physical Therapist
8559 N LINE CREEK PKWY
KANSAS CITY, MO 64154
Platte County (816) 468-2011
LEGACY HEALTHCARE SERVICES, INC
Physical Therapist
8559 N LINE CREEK PKWY
KANSAS CITY, MO 64154
Platte County (816) 486-2011
MR. DANIEL KENNEDY MOTR/L
Occupational Therapist
8559 N LINE CREEK PKWY
KANSAS CITY, MO 64154
Platte County (816) 468-2011
AMY ELIZABETH FREDERICK
Physical Therapy Assistant
8559 N LINE CREEK PKWY
KANSAS CITY, MO 64154
Platte County (816) 545-9790

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 Radiya Shabazz's NPI number?

The NPI number for Radiya Shabazz is 1225875156. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Radiya Shabazz located?

Radiya Shabazz practices at 8559 N Line Creek Pkwy, Kansas City, MO 64154. The listed phone number is (816) 468-8282.

What is Radiya Shabazz's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Radiya Shabazz enrolled in Medicare?

Yes. Radiya Shabazz 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.

Which organizations bill Medicare for Radiya Shabazz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Radiya Shabazz reassigns Medicare benefits to 2 organizations: Key Rehabilitation Inc (Carthage, MO) and Empowerme Rehabilitation Missouri LLC (Saint Charles, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Radiya Shabazz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Radiya Shabazz was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.