DR. THAER DAIFALLAH DDS
NPI 1699901868
Oral & Maxillofacial Surgery in Kansas City, MO

Active since June 02, 2009PECOS EnrolledAccepts Medicare Assignment
86.88/100
CMS Quality Rating
2101 CHARLOTTE ST, KANSAS CITY, MO 64108(816) 404-0500 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2020, Feb 12, 2018 (2 updates tracked since 2018).

About Dr. Thaer Daifallah Dds NPPES

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

DR. THAER DAIFALLAH DDS (NPI 1699901868) is an individual oral & maxillofacial surgery provider in Kansas City, Missouri, licensed in Missouri (2009013156) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Truman Medical Center Hospital Hill, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1699901868
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. THAER DAIFALLAHCredential: DDS
Location Address2101 CHARLOTTE STKansas City, MO 64108-2727
Mailing Address2301 Holmes StKansas City, MO 64108-2640 · (816) 404-0500
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2009
Enumeration DateJune 2, 2009
Last NPPES UpdateNovember 19, 20202 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
NPI 1699901868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses Licensed in MO · 2009013156 Licensed in KS · 60883
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 2009013156 (MO)
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 2009013156 (MO)
2101 CHARLOTTE ST, Kansas City, MO 64108

Secondary Practice Location 1

Location 12301 Holmes StKansas City, MO 64108-2640 · Phone (816) 404-0500

Accepted 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

Dr. Thaer Daifallah Dds 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 ID3072665595
PECOS Enrollment IDI20090715000029
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.

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

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

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.

Dentist
2101 CHARLOTTE ST, UNIVERSITY HEALTH
KANSAS CITY, MO 64108
Obstetrics & Gynecology
2101 CHARLOTTE ST
KANSAS CITY, MO 64108
Pain Medicine (Interventional Pain Medicine)
2101 CHARLOTTE ST
KANSAS CITY, MO 64108
Dentist (Oral and Maxillofacial Surgery)
2101 CHARLOTTE ST
KANSAS CITY, MO 64108
Eyewear Supplier
2101 CHARLOTTE ST, SUITE 230
KANSAS CITY, MO 64108
Surgery (Plastic and Reconstructive Surgery)
2101 CHARLOTTE ST
KANSAS CITY, MO 64108
Dentist (Oral and Maxillofacial Surgery)
2101 CHARLOTTE ST
KANSAS CITY, MO 64108
Physician Assistant
2101 CHARLOTTE ST
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 Thaer Daifallah's NPI number?

The NPI number for Thaer Daifallah is 1699901868. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Thaer Daifallah located?

Thaer Daifallah practices at 2101 Charlotte St, Kansas City, MO 64108. The listed phone number is (816) 404-0500.

What is Thaer Daifallah's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Thaer Daifallah enrolled in Medicare?

Yes. Thaer Daifallah 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 Thaer Daifallah 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 17 other insurers list Thaer Daifallah 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 Thaer Daifallah affiliated with any hospitals?

According to CMS data, Thaer Daifallah is affiliated with Truman Medical Center Hospital Hill and St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Thaer Daifallah was last updated on November 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.