Active NPI
Padmavathi Kavuru
- Diagnostic Radiology Physician
- Kansas City, MO
National Provider Identifier
1124126446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2000164184
- Practice address
- 4801 Linwood Boulevard
Kansas City, MO 64128 - Phone
- (816) 861-4700
- Fax
- (816) 922-2425
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2000164184 | MO | Primary |
Addresses
Primary practice location
4801 Linwood Boulevard
Kansas City, MO 64128
Mailing address
1 Sugar Creek Lane
Edwardsville, IL 62025
Other names 1
- Padma Kandula
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000164184 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologic Physicians LTD | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Medical Testing Systems, Inc. | Past | Accepting new patients |
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.
-
- Mammography Clinic/Center
- Florissant, MO
- NPI 1578677142
-
- Diagnostic Radiology Physician
- Alton, IL
- NPI 1821189168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124126446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SUGAR CREEK LANE",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "62025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 LINWOOD BOULEVARD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64128",
"telephone_number": "816-861-4700",
"fax_number": "816-922-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVURU",
"first_name": "PADMAVATHI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2000164184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PADMA",
"last_name": "KANDULA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.