Impact Orthopedics & Sports Medicine, LLC
NPI 1023697406 · Orthopaedic Surgery Physician · Prairie Village, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Impact Orthopedics & Sports Medicine, LLC is a Orthopaedic Surgery Physician organization in Prairie Village, KS (NPI 1023697406).
Provider details
- NPI number
- 1023697406
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Azzam, Owner(913) 906-8640
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2021-12-24
- Certified
- 2021-12-24
Frequently asked questions
- What is Impact Orthopedics & Sports Medicine, LLC's NPI number?
- Impact Orthopedics & Sports Medicine, LLC's National Provider Identifier (NPI) is 1023697406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Orthopedics & Sports Medicine, LLC?
- Impact Orthopedics & Sports Medicine, LLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Impact Orthopedics & Sports Medicine, LLC located?
- Impact Orthopedics & Sports Medicine, LLC's practice location on file with NPPES is 5200 W 94th Ter Ste 113, Prairie Village, KS 66207-2522.
- What is Impact Orthopedics & Sports Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Orthopedics & Sports Medicine, LLC is (913) 906-8640.
- Does Impact Orthopedics & Sports Medicine, LLC accept Medicare?
- Impact Orthopedics & Sports Medicine, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Impact Orthopedics & Sports Medicine, LLC?
- The authorized official listed on Impact Orthopedics & Sports Medicine, LLC's NPPES record is Michael Azzam, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Orthopedics & Sports Medicine, LLC's NPI active?
- Yes — Impact Orthopedics & Sports Medicine, LLC's NPI (1023697406) is active in the NPPES registry as of the last update on 2021-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.