DR. MICHAEL JONATHAN KHADAVI MD NPI 1003050204

NPI Information

  • NPI: 1003050204
  • Provider Name: DR. MICHAEL JONATHAN KHADAVI, MD
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10777 NALL AVE STE 300
    OVERLAND PARK, KS
    ZIP 66211
  • Phone: (913) 642-0200

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NPI Details

DR. Michael Jonathan Khadavi, MD is a sports medicine physical medicine rehabilitation in Overland Park, KS with 17 years of experience. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. DR. Michael Jonathan Khadavi, MD NPI is 1003050204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2009

The provider's business location address is:

10777 NALL AVE STE 300
OVERLAND PARK, KS
ZIP 66211-330
Phone: (913) 642-0200
Fax: (913) 563-6699

The NPI 1003050204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (HCPCS:J7326)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection into tendon at attachment to bone or muscle (HCPCS:20551)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Aspiration and/or injection of fluid from small joint using ultrasound guidance (HCPCS:20604)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Injection into tendon or ligament (HCPCS:20550)

The enumeration date for this NPI number is 5/1/2009 and was last updated on 9/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports Medicine2010026613MISSOURINo
22081S0010XPhysical Medicine & RehabilitationSports Medicine04-37406KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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