DR. DIMA KHASSAWNEH MD
NPI 1265283857
Student in an Organized Health Care Education/Training Program in Kansas City, MO
About Dr. Dima Khassawneh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DIMA KHASSAWNEH MD (NPI 1265283857) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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. Dima Khassawneh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
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 Dima Khassawneh's NPI number?
The NPI number for Dima Khassawneh is 1265283857. It was assigned to this individual provider in the NPPES registry on April 1, 2024.
Where is Dima Khassawneh located?
Dima Khassawneh practices at 2301 Holmes St, Kansas City, MO 64108. The listed phone number is (816) 404-4175.
What is Dima Khassawneh's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Dima Khassawneh enrolled in Medicare?
Yes. Dima Khassawneh is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dima Khassawneh was last updated on April 7, 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.
# Dr. Dima Khassawneh, MD · NPI 1265283857
Student in an Organized Health Care Education/Training Program provider in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since April 1, 2024.
## Identity
- **NPI:** 1265283857 (Entity type: Individual)
- **Enumerated:** April 1, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2301 HOLMES ST, Kansas City, MO 64108-2640
- **Phone:** (816) 404-4175
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265283857) · Data from the CMS NPPES public registry.