Atabak Kermani, MD
Atabak Kermani, MD is a Geriatric Medicine (Family Medicine) Physician in Leavenworth, KS, registered under NPI 1407383870. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3500 S 4TH ST, Leavenworth, KS 66048. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD-46501 | IA | Family Medicine Physician |
| 04-45327 | KS | Geriatric Medicine (Family Medicine)… |
| 2021045661 | MO | Geriatric Medicine (Family Medicine)… primary |
Licences are recorded in 3 states: IA, KS, MO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Family Practice
- PAC ID
- 4880963842
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Missouri | I20221012003852 | Practitioner - Family Practice |
| Kansas | I20231005003012 | Practitioner - Family Practice |
Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. 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 3 states
This provider holds licences in 3 states: Iowa, Kansas and Missouri. The practice address on file is in Leavenworth, 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.
- Licence
- 04-45327
- Specialty
- Geriatric Medicine (Family Medicine)…
- Licence
- 2021045661
- Specialty
- Geriatric Medicine (Family Medicine)…
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 Geriatric Medicine covers
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. NUCC Health Care Provider Taxonomy, code 207QG0300X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | MD-46501 | IA | |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician Geriatric Medicine | 04-45327 | KS | |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician Geriatric Medicine | 2021045661 | MO | 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.
| NPI | 1407383870 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 17, 2017 |
| Last updated | Jan 28, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | MD |
| Practice address |
3500 S 4TH ST Leavenworth, KS 66048 (913) 680-6000 |
| Mailing address |
1800 S SWOPE DR Independence, MO 64057 |
| Other names |
Atabak Asvadi Kermani Former Legal Business Name |
Number check
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 | 4 | 0 | 7 | 3 | 8 | 3 | 8 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 0 | 7 | 6 | 8 | 6 | 8 | 5 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
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.