Active NPI
Vasundhara Posavanike Kailasnath, M.D
- Pediatric Hematology & Oncology Physician
- Iowa City, IA
National Provider Identifier
1134312549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- MD-42311
- Practice address
- 200 Hawkins Dr
Stead Family Department of Pediatrics
Iowa City, IA 52242-1009 - Phone
- (319) 384-5966
- Fax
- (319) 353-7790
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | MD-42311 | IA | Primary |
| Pediatrics Physician | 208000000X | ME114269 | FL | |
| Pediatrics Physician | 208000000X | MD42311 | IA |
Addresses
Primary practice location
200 Hawkins Dr
Stead Family Department of Pediatrics
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Stead Family Department of Pediatrics
Iowa City, IA 52242-1009
Phone (319) 384-5966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009567500 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME114269 | FL | MD | Pediatrics Physician |
| MD42311 | IA | MD | Pediatrics Physician |
| MD-42311 | IA | MD | Pediatric Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1134312549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "STEAD FAMILY DEPARTMENT OF PEDIATRICS",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-384-5966",
"fax_number": "319-353-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "STEAD FAMILY DEPARTMENT OF PEDIATRICS",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-384-5966",
"fax_number": "319-353-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSAVANIKE KAILASNATH",
"first_name": "VASUNDHARA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "IA",
"license": "MD-42311",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME114269",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "MD42311",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009567500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.