Individual provider Active NPI

Sarah A Rastogi, M.D.

  • Pediatrics Physician
  • Leawood, KS
National Provider Identifier
1053576074
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0437699 Issued in KS
Practice address
5401 College Blvd
Ste 100
Leawood, KS 66211-1923
Phone
(913) 825-3627
Fax
(913) 948-9128
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2019014139 MO
Pediatrics Physician 208000000X 53774 WI
Pediatrics Physician 208000000X 036135135 IL
Pediatrics Physician 208000000X 0437699 KS Primary

Addresses

Primary practice location

5401 College Blvd
Ste 100
Leawood, KS 66211-1923

Mailing address

5401 College Blvd
Ste 100
Leawood, KS 66211-1923
Phone (913) 825-3627

Other practice location 1

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802000922 MO Practitioner - Pediatric Medicine 6204014947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036135135ILMDPediatrics Physician
0437699KSMDPediatrics Physician
53774WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Physicians Pediatrics CurrentSince Jun 24, 2019 Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients

Locations

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

7900 Lees Summit Rd
Fl 1
Kansas City, MO 64139
Phone (816) 478-7904

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1053576074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 COLLEGE BLVD",
            "address_2": "STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111923",
            "telephone_number": "913-825-3627",
            "fax_number": "913-948-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 COLLEGE BLVD",
            "address_2": "STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111923",
            "telephone_number": "913-825-3627",
            "fax_number": "913-948-9128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Lees Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641391236",
            "country_code": "US",
            "telephone_number": "816-404-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2019014139",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "53774",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036135135",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0437699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.