Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Atabak Asvadi Kermani, MD

Individual provider Family Medicine Physician · NPI 1407383870

Dr. Atabak Asvadi Kermani, MD is a Family Practice in Leavenworth, Kansas. Qualified in 2010, 16 years ago. Practices with Miami County Medical Center Inc, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa, Kansas and Missouri.

Years since qualifying
16
Licensed in
IA, KS, MO
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3500 S 4th St
Leavenworth, KS 66048-5043
Phone: (913) 680-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 S Swope Dr, Independence, MO 64057-1084 — (816) 908-2316

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 2021045661 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD-46501 (IA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 04-45327 (KS)

Record details

NPI number1407383870
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2017
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Miami County Medical Center Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Leavenworth