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

Dr. Michael Jonathan Khadavi, MD

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1003050204

Dr. Michael Jonathan Khadavi, MD is a Physical Medicine and Rehabilitation in Overland Park, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2009, 17 years ago. Practices with Dickson Diveley Midwest Orthopaedic Clinic LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
17
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS, MO
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Phone: (913) 642-0200
Fax: (913) 563-6699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1003050204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2009
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2009 (17 years in practice)
Group practice Dickson Diveley Midwest Orthopaedic Clinic Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Overland Park