Active NPI
Tasanaporn Pitiyanuvath, M.D.
- Pediatrics Physician
- Kansas City, MO
National Provider Identifier
1225067945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 33971
- Practice address
- 2340 E Meyer Blvd Ste 200
Kansas City, MO 64132-1121 - Phone
- (816) 753-5144
- Fax
- (816) 777-2796
- NPI assigned
- Jul 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 33971 | MO | |
| Pediatrics Physician | 208000000X | 33971 | MO | Primary |
Addresses
Primary practice location
2340 E Meyer Blvd Ste 200
Kansas City, MO 64132-1121
Mailing address
2340 E Meyer Blvd Ste 200
Kansas City, MO 64132-1121
Phone (816) 753-5144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201583416 | Medicaid | MO |
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 |
|---|---|---|---|
| 33971 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Metropolitan Physicians Group LLC | 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.
-
- Psychiatry Physician
- Kansas City, MO
- NPI 1851341440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1225067945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 E MEYER BLVD STE 200",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321121",
"telephone_number": "816-753-5144",
"fax_number": "816-777-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 E MEYER BLVD STE 200",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321121",
"telephone_number": "816-753-5144",
"fax_number": "816-777-2796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITIYANUVATH",
"first_name": "TASANAPORN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "33971",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "33971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201583416",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}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 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.