DAVID D EDALATI MD
NPI 1477669141
Internal Medicine in Overland Park, KS

Q: What is David Edalati's NPI number?

The NPI number for David Edalati is 1477669141. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is David Edalati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for David Edalati was last updated on August 23, 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.

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

7011 W 121ST ST STE 106, OVERLAND PARK, KS 66209(913) 884-1055(913) 884-1066 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2022, Jun 16, 2016 (2 updates tracked since 2016).

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About David D Edalati Md NPPES

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

DAVID D EDALATI MD (NPI 1477669141) is an individual internal medicine provider in Overland Park, Kansas, licensed in Kansas (0424423) and active in the NPI registry since August 2006. 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) (1990).

NPPES Registry Identity

NPI1477669141

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDAVID D EDALATICredential: MD

Location Address7011 W 121ST ST STE 106Overland Park, KS 66209-2009

Mailing Address7011 W 121st St Ste 106Overland Park, KS 66209-2009 · (913) 884-1055 · Fax (913) 884-1066

Phone(913) 884-1055

Fax(913) 884-1066

Sole ProprietorYes

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1990

Enumeration DateAugust 22, 2006

Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1477669141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KS · 0424423

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

7011 W 121ST ST STE 106, Overland Park, KS 66209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

David D Edalati 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 ID8527014976

PECOS Enrollment IDI20101008000618

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 12

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

918 services51 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.

683 services180 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

590 services48 patients

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.

94 services53 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

90 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

87 services49 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

53 services24 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

33 services23 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

17 services15 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

15 services12 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS

4/5 CMS rating

OwnershipProprietary

CMS Certification Number170176

Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County

Emergency services Birthing friendly

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 66209 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

Diabetes: Foot Exam

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year

8%85 patients1/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

89%832 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

34%104 patients2/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

23%508 patients1/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

13%470 patients1/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 40% · 332 patients

46%332 patients

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 18% · 104 patients

30%104 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers24 claims56 services$6.50 avg. paid by Medicare

Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each A4331

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims12 services$3.07 avg. paid by Medicare

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims48 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier12 claims2,400 services$1.68 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers14 claims28 services$1.10 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers11 claims51 services$1.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

SUSANA RODRIGUEZ-ESLER NP

Nurse Practitioner

7011 W 121ST ST STE 106
OVERLAND PARK, KS 66209

Johnson County (913) 884-1055

CYNTHIA P SURMACZEWICZ PA-C

Physician Assistant

7011 W 121ST ST STE 106
LEAWOOD, KS 66209

Johnson County (913) 884-1055

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 David Edalati's NPI number?

The NPI number for David Edalati is 1477669141. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is David Edalati located?

David Edalati practices at 7011 W 121st St Ste 106, Overland Park, KS 66209. The listed phone number is (913) 884-1055.

What is David Edalati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Edalati enrolled in Medicare?

Yes. David Edalati 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 David Edalati accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list David Edalati 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 David Edalati affiliated with any hospitals?

According to CMS data, David Edalati is affiliated with University Of Kansas Hospital, Adventhealth Shawnee Mission, Overland Park Reg Med Ctr and St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for David Edalati was last updated on August 23, 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.