Individual provider Active NPI

Sanjiv Kumar Bajaj, M.D.

  • Diagnostic Radiology Physician
  • Kansas City, MO
National Provider Identifier
1215135751
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2025018346 Issued in MO
Practice address
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone
(816) 932-2549
Fax
(816) 932-3939
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0451116 KS
Diagnostic Radiology Physician 2085R0202X 036174719 IL
Diagnostic Radiology Physician 2085R0202X 36260 AL
Diagnostic Radiology Physician 2085R0202X 2025018346 MO Primary

Addresses

Primary practice location

4401 Wornall Rd
Kansas City, MO 64111-3220

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Other practice location 1

1 Edgewater St
Suite 3 -6 TH Floor
Staten Island, NY 10305-4907
Phone (718) 947-7000 ext. 7036

Other practice location 2

619 19th St S
Birmingham, AL 35249
Phone (205) 934-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NY, AL, IL, KS5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110628000892 MO Practitioner - Diagnostic Radiology 4789862483 Reassigns benefits to 1 organization
I20130430000047 NY Practitioner - Diagnostic Radiology 4789862483 Reassigns benefits to 1 organization
I20191108002436 AL Practitioner - Diagnostic Radiology 4789862483 Reassigns benefits to 4 organizations
I20250527002197 IL Practitioner - Diagnostic Radiology 4789862483
I20250723000551 KS Practitioner - Diagnostic Radiology 4789862483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

Practice addresses (Care Compare)

12330 Metcalf Ave
Suite 500B
Overland Park, KS 66213-1324
Phone (816) 932-2836

160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

5014 Applecross Rd
Birmingham, AL 35242-3916
Phone (816) 932-2549

Hospital & facility affiliations

  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0451116KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc Diagnostic Radiology CurrentSince Jun 5, 2025 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Sep 17, 2024 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Oct 14, 2024 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Saint Luke'S Neighborhood Clinics, LLC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Physicians of University Hospital, PC Past Accepting new patients
Verrazano Radiology Asociates, PC Diagnostic Radiology Past Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500B
Overland Park, KS 66213
Phone (816) 932-0288

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

Interoperability endpoints

  • Direct secure messaging: sbajaj675658@direct.saint-lukes.org

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1215135751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113220",
            "telephone_number": "816-932-2549",
            "fax_number": "816-932-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Edgewater St",
            "address_2": "SUITE 3 -6 TH FLOOR",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103054907",
            "country_code": "US",
            "telephone_number": "718-947-7000 x7036",
            "fax_number": "718-947-7005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35249",
            "country_code": "US",
            "telephone_number": "205-934-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "SANJIV",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0451116",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036174719",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "36260",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2025018346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.