MEDICARE: NINA KHABEISHVILI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	2025026957	MO
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1790571396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA KHABEISHVILI MD

Provider Business Mailing Address
First Line	:	1000 CARONDELET DRIVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4673
Country	:	US
Telephone Number	:	816-943-5752
Fax Number	:	816-943-5762

Provider Business Practice Location Address
First Line	:	1000 CARONDELET DRIVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4673
Country	:	US
Telephone Number	:	816-943-5752
Fax Number	:	816-943-5762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2025
Last Update Date	:	01/28/2026

Similar Medicare Providers

1558668566 — SHAWN J. TOLIVER
Practice Location Address:

1000 CARONDELET DR
KANSAS CITY, MO
64114-4673

Practice Phone: 800-968-6866
Practice Fax:

1194385286 — DR. MATTHEW DECKER MD
Practice Location Address:

1000 CARONDELET DR
KANSAS CITY, MO
64114-4673

Practice Phone: 816-942-4400
Practice Fax:

1972390110 — MEHREEN ASHFAQ MD
Practice Location Address:

1000 CARONDELET DRIVE , #300
KANSAS CITY, MO
64114-4673

Practice Phone: 816-943-4700
Practice Fax: 816-943-5762

1558363838 — CARONDELET EMERGENCY PHYSICIANS INC
Practice Location Address:

1000 CARONDELET DR
KANSAS CITY, MO
64114-4673

Practice Phone: 816-942-4400
Practice Fax:

1831194901 — DR. JAMES ROBERT BERGH MD
Practice Location Address:

1000 CARONDELET DR
KANSAS CITY, MO
64114-4673

Practice Phone: 913-943-2271
Practice Fax:

1891793238 — LISA KATHLEEN CAST CRNA
Practice Location Address:

1000 CARONDELET DR , SAINT JOSEPH HEALTH CENTER
KANSAS CITY, MO
64114-4673

Practice Phone: 816-943-2252
Practice Fax: 816-943-4656

Directions to “ NINA KHABEISHVILI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.