Active NPI
Lillian G Pardo, MD
- Pediatrics Physician
- Kansas City, KS
National Provider Identifier
1205946522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04-15489
- Practice address
- 3901 Rainbow Blvd
2026 Miller Mail Stop 4004
Kansas City, KS 66160 - Phone
- (913) 588-6398
- Fax
- (913) 588-6319
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-15489 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
2026 Miller Mail Stop 4004
Kansas City, KS 66160
Mailing address
3901 Rainbow Blvd
4070 Delp Mail Stop 4017
Kansas City, KS 66160
Phone (913) 588-6398
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08894023 | Other | MO | BCBS KANSAS CITY |
| 626750 | Other | FIRSTGUARD |
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 |
|---|---|---|---|
| 04-15489 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Kansas City, KS
- NPI 1962548883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205946522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"address_2": "4070 DELP MAIL STOP 4017",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66160",
"telephone_number": "913-588-6398",
"fax_number": "913-588-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"address_2": "2026 MILLER MAIL STOP 4004",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66160",
"telephone_number": "913-588-6398",
"fax_number": "913-588-6319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDO",
"first_name": "LILLIAN",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-15489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KANSAS CITY",
"identifier": "08894023",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "626750",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.