Individual provider

Michael Khadavi, MD

Sports Medicine (Physical Medicine & Rehabilitation) Physician Medicare enrolled

Michael Khadavi, MD is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Overland Park, KS, registered under NPI 1003050204.

Getting there

Here is what surrounds this office in Overland Park, based on OpenStreetMap data collected Sep 2, 2026. Parking is available about 154 ft away. If you arrive early, there is a coffee shop 0.43 mi away.

10777 NALL AVE STE 300, Overland Park, KS 66211 Open in Google Maps →

Getting here and what is nearby

Parking 111 ft ~1 min
Parking 113 ft ~1 min
Parking 154 ft ~1 min
Gas station QuikTrip 780 ft ~3 min
Convenience QuikTrip 0.41 mi ~9 min

10700 Roe Avenue, Overland Park 66211

24/7

Directions in Google Maps →

Coffee Scooters 0.43 mi ~9 min
Gas station QuikTrip 0.43 mi ~9 min
Restaurant Freddy's 0.45 mi ~10 min

10690 Roe Avenue, Overland Park 66211

Directions in Google Maps →

Restaurant Crushed Red- Overland Park 0.48 mi ~10 min

10640 Roe Avenue, Overland Park 66207

Website

Directions in Google Maps →

Restaurant Winstead's Restaurant 0.50 mi ~10 min

10711 Roe Avenue, Overland Park 66207

Website

Directions in Google Maps →

OpenStreetMap via Overpass · ODbL 800 m radius Updated Sep 2, 2026

Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.

Credentials and Medicare

State licence
LicenceStateSpecialty
2010026613 MO Sports Medicine (Physical Medicine &…
04-37406 KS Sports Medicine (Physical Medicine &… primary

Licences are recorded in 2 states: MO, KS. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physical Medicine And Rehabilitation
PAC ID
8921283490

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Missouri I20110427000145 Practitioner - Physical Medicine And Rehabilitation
Kansas I20141029002409 Practitioner - Physical Medicine And Rehabilitation

Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Medicine And Rehabilitation. There are 2 separate enrolment records across 2 states (MO, KS). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Kansas and Missouri. The practice address on file is in Overland Park, KS, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KS Kansas practice address
Licence
04-37406
Specialty
Sports Medicine (Physical Medicine &…
Verify with the KS board →
MO Missouri
Licence
2010026613
Specialty
Sports Medicine (Physical Medicine &…
Verify with the MO board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Sports Medicine covers

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. NUCC Health Care Provider Taxonomy, code 2081S0010X
Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Sports Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician Sports Medicine 2010026613 MO
2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician Sports Medicine 04-37406 KS primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1003050204 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 1, 2009
Last updatedSep 30, 2022
StatusActive
Sole proprietorNo
GenderMale
CredentialMD
Practice address 10777 NALL AVE STE 300
Overland Park, KS 66211
(913) 642-0200
Fax (913) 563-6699
The last update on file is Sep 30, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1003050204 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 0 5 0 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 0 5 0 2 0

Sum = 36 · next multiple of 10 = 40 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003050204?
NPI 1003050204 is the National Provider Identifier assigned to Michael Khadavi, MD in Overland Park, KS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
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…
How do I contact Michael Khadavi, MD?
The phone number on file with NPPES is (913) 642-0200, last updated Sep 30, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Michael Khadavi, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Where do I park when visiting Michael Khadavi, MD?
Parking is about 154 ft from the office. Distances are straight-line estimates from OpenStreetMap, so walking routes may be slightly longer.
Is NPI 1003050204 a valid number?
Yes. 1003050204 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.