Active NPI
Nivedita Ganguly, M.D.
- Infectious Disease Physician
- Kansas City, KS
National Provider Identifier
1245450642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 32986
- Practice address
- 3901 Rainbow Boulevard
6067 Delp, Mail Stop 1028
Kansas City, KS 66160 - Phone
- (913) 588-6035
- Fax
- (913) 945-6916
- NPI assigned
- Apr 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 32986 | KS | Primary |
| Internal Medicine Physician | 207R00000X | 32986 | KS |
Addresses
Primary practice location
3901 Rainbow Boulevard
6067 Delp, Mail Stop 1028
Kansas City, KS 66160
Mailing address
3901 Rainbow Boulevard
6067 Delp, Mail Stop 1028
Kansas City, KS 66160
Phone (913) 588-6035
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-32986 | Other | KS | MEDICAL LICENSE NUMBER |
| 200623410A | Medicaid | KS |
Other names 1
- Nivedita Ganguly
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 |
|---|---|---|---|
| 32986 | KS | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1245450642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BOULEVARD",
"address_2": "6067 DELP, MAIL STOP 1028",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66160",
"telephone_number": "913-588-6035",
"fax_number": "913-945-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BOULEVARD",
"address_2": "6067 DELP, MAIL STOP 1028",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66160",
"telephone_number": "913-588-6035",
"fax_number": "913-945-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGULY",
"first_name": "NIVEDITA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "KS",
"license": "32986",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "32986",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "04-32986",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200623410A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NIVEDITA",
"last_name": "GANGULY",
"credential": "M.D",
"code": "2",
"type": "Professional Name"
}
]
}
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 May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.