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SHAWNEE MISSION INTERNAL MEDICINE LLC
NPI 1720826548
Internal Medicine in Overland Park, KS

Active since July 16, 2024
11661 COLLEGE BLVD STE 100, OVERLAND PARK, KS 66210(913) 954-8500 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shawnee Mission Internal Medicine Llc NPPES

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

SHAWNEE MISSION INTERNAL MEDICINE LLC (NPI 1720826548) is a healthcare organization registered as an internal medicine in Overland Park, Kansas and active in the NPI registry since July 2024. The organization lists Michelle Benkhadra, Credentialier, as its authorized official.

NPPES Registry Identity

NPI1720826548
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHAWNEE MISSION INTERNAL MEDICINE LLC
Location Address11661 COLLEGE BLVD STE 100Overland Park, KS 66210-4104
Mailing Address11661 College Blvd Ste 100Overland Park, KS 66210-4104
Phone(913) 954-8500
Organization SubpartNo
Authorized OfficialMichelle BenkhadraCredentialier · (913) 954-8500
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1720826548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
11661 COLLEGE BLVD STE 100, Overland Park, KS 66210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawnee Mission Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Shawnee Mission Internal Medicine LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ammar Khalifa, MD
Internal Medicine
NPI 1780677948
11661 COLLEGE BLVD
Overland Park, KS 66210
(913) 432-8400
✔ PECOS✔ Accepts MedicareSame address
April Maiyo, FNP
Nurse Practitioner
NPI 1528717659
11661 COLLEGE BLVD
Overland Park, KS 66210
(913) 954-8500
✔ PECOS✔ Accepts MedicareSame address
Shannon Ortman, APRN-C
Nurse Practitioner
NPI 1710300074
11661 COLLEGE BLVD
Overland Park, KS 66210
(913) 432-8400
✔ PECOS✔ Accepts MedicareSame address

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

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 Shawnee Mission Internal Medicine LLC's NPI number?

The NPI number for Shawnee Mission Internal Medicine LLC is 1720826548. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is Shawnee Mission Internal Medicine LLC located?

Shawnee Mission Internal Medicine LLC is located at 11661 College Blvd Ste 100, Overland Park, KS 66210. The listed phone number is (913) 954-8500.

What is Shawnee Mission Internal Medicine LLC's specialty?

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

Is Shawnee Mission Internal Medicine LLC enrolled in Medicare?

Yes. Shawnee Mission Internal Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shawnee Mission Internal Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Shawnee Mission Internal Medicine LLC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shawnee Mission Internal Medicine LLC was last updated on July 16, 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.