Individual provider Active NPI

Jhulan Mukharji, M.D.

  • Cardiovascular Disease Physician
  • Shawnee Mission, KS
National Provider Identifier
1154320414
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MDR7G88 Issued in MO
Practice address
9119 W 74TH St
Suite 350
Shawnee Mission, KS 66204-2215
Phone
(913) 789-3290
Fax
(913) 789-3208
NPI assigned
Jul 19, 2005
Last updated
Sep 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MDR7G88 MO Primary

Addresses

Primary practice location

9119 W 74TH St
Suite 350
Shawnee Mission, KS 66204-2215

Mailing address

9119 W 74TH St
Suite 350
Shawnee Mission, KS 66204-2215
Phone (913) 789-3290

Other identifiers 1

IdentifierTypeStateIssuer
1154320414MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20051031000234 KS Practitioner - Cardiovascular Disease (Cardiology) 0547213035 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR7G88MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Cardiovascular Associates, P.a. Cardiovascular Disease Current Accepting new patients
Centerpoint Cardiology Services LLC Cardiovascular Disease Past Accepting new patients
Clinical Cardiovascular Associates PA Cardiovascular Disease Past Accepting new patients

Locations

10308 State Line Rd
Leawood, KS 66206
Phone (913) 381-6996

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

9119 W 74th St
Ste 350
Shawnee Msn, KS 66204
Phone (913) 632-9400

206 NW Mock Ave
Ste 200
Blue Springs, MO 64014
Phone (816) 224-8999

19550 E 39th St S
#227
Independence, MO 64057
Phone (816) 795-9716

930 Carondelet Dr
Ste 201
Kansas City, MO 64114
Phone (785) 943-3955

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1154320414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "SUITE 350",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042215",
            "telephone_number": "913-789-3290",
            "fax_number": "913-789-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "SUITE 350",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042215",
            "telephone_number": "913-789-3290",
            "fax_number": "913-789-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHARJI",
        "first_name": "JHULAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "MDR7G88",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154320414",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.