DR. AYESHA NASRULLAH (MD) – Body Imaging Physician, NPI 1033566740

DR. AYESHA NASRULLAH (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 2020021444 (MO). The NPI Number for DR. AYESHA NASRULLAH (MD) is 1033566740

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. AYESHA NASRULLAH (MD)
NPI
1033566740
Phone
(573) 884-3300
Address
PO BOX 843966
Enumeration Date
23 May 2016
Deactivation Date
23 January 2017
Reactivation Date
21 August 2017
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738824141
Graduation Year
2005 (21 years ago)
PAC ID
2961834387
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20200803000184
Address ID
MO652120001CO1XXXXDRXX300

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness95
Years active:10State licenses:2Other names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for DR. AYESHA NASRULLAH (MD)

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 1515 Holcombe Blvd

    Houston, TX 770304000

    Phone: (713) 792-6161

    Fax: (573) 882-9876

    Type: Location

  • Hospital Drive, Columbia, Boone County, Missouri, 65212, United States

    COLUMBIA, MO 652120001

    Phone: (573) 884-7770

    Fax: (573) 882-9876

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-02-18 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($111).

Total Amount

$127

General + Research + Ownership

Payments

2

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200803000184IDiagnostic RadiologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
74177Ct scan of abdomen and pelvis with contrast298276$0
74018X-ray of abdomen, 1 view269208$0
74183Mri scan of abdomen before and after contrast135130$0
74230Imaging for evaluation of swallowing function10595$0
76770Complete ultrasound scan behind abdominal cavity9493$0
View full utilization report →

Insurance plans in this area (ZIP 64184)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Emergency Medicine, Internal MedicineMO

Reviews

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Frequently asked questions

What is DR. AYESHA NASRULLAH (MD)'s NPI number?
DR. AYESHA NASRULLAH (MD)'s NPI is 1033566740 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. AYESHA NASRULLAH (MD)?
For scheduling context, DR. AYESHA NASRULLAH (MD) is shown as active in the registry.
What area of care is associated with DR. AYESHA NASRULLAH (MD)?
DR. AYESHA NASRULLAH (MD)'s record emphasizes Body Imaging Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. AYESHA NASRULLAH (MD)?
Travel planning: use Kansas City, Missouri as the reference point for DR. AYESHA NASRULLAH (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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