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ESMAT Z. SADEDDIN M.D
NPI 1609802065
Internal Medicine - Gastroenterology in Kansas City, MO

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
86.88/100
CMS Quality Rating
2301 HOLMES ST, KANSAS CITY, MO 64108(816) 404-3995(816) 404-3997 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Esmat Z. Sadeddin M.d NPPES

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

ESMAT Z. SADEDDIN M.D (NPI 1609802065) is an individual gastroenterology provider in Kansas City, Missouri, licensed in Missouri (2006036878) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Truman Medical Center Hospital Hill, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1609802065
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameESMAT Z. SADEDDINCredential: M.D
Location Address2301 HOLMES STKansas City, MO 64108-2640
Mailing Address2310 Holmes St, Ste 800Kansas City, MO 64108-2602 · (816) 218-2500 · Fax (816) 421-7379
Phone(816) 404-3995
Fax(816) 404-3997
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 25, 2006
Last NPPES UpdateNovember 9, 2016
✔ NPI 1609802065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MO · 2006036878
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2006036878 (MO)
2301 HOLMES ST, Kansas City, MO 64108
Open in Google Maps ↗

Accepted Insurance

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

Esmat Z. Sadeddin M.d 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 ID6901979954
PECOS Enrollment IDI20080723000840
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 3

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
33 services32 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
33 services33 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
31 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260048
Location2301 Holmes StreetKansas City, MO 64108 · Jackson County
Emergency services Birthing friendly

University Health Lakewood Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260102
Location7900 Lee's Summit RdKansas City, MO 64139 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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.

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.

86.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.46
Promoting Interoperability100
Improvement Activities40
Cost57.71

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.

KYLA WESELY
Dietitian, Registered
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-2461
HANNAH BROWN
Nurse Practitioner (Family)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4070
AJANTA JINHEE RAMAN APRN
Nurse Practitioner (Adult Health)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-1325
DR. JORDAN HENRY HELD MD
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4175
STEPHEN C SHOE PHARMD
Pharmacist
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4293
LOVELIGHT N JONAH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-1000
DIVYA GANESH REDDY
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (517) 599-4748
DR. STEPHEN M EIKERMANN D.O.
Internal Medicine (Critical Care Medicine)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-5495

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 Esmat Sadeddin's NPI number?

The NPI number for Esmat Sadeddin is 1609802065. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Esmat Sadeddin located?

Esmat Sadeddin practices at 2301 Holmes St, Kansas City, MO 64108. The listed phone number is (816) 404-3995.

What is Esmat Sadeddin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Esmat Sadeddin enrolled in Medicare?

Yes. Esmat Sadeddin 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 Esmat Sadeddin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Esmat Sadeddin 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 Esmat Sadeddin affiliated with any hospitals?

According to CMS data, Esmat Sadeddin is affiliated with Truman Medical Center Hospital Hill and University Health Lakewood Medical Center.

When was this NPI record last updated?

The NPPES record for Esmat Sadeddin was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.