Individual provider Active NPI

Pankaj Nagaraj, MD

  • Neonatal-Perinatal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1306040985
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
2026021953 Issued in MO
Practice address
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone
(816) 234-3000
Fax
(816) 302-9939
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X C1659 KY
Neonatal-Perinatal Medicine Physician 2080N0001X 2026021953 MO Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 72811-20 WI
Neonatal-Perinatal Medicine Physician 2080N0001X 65362 MN

Addresses

Primary practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Mailing address

2401 Gillham Rd
Attn Provider Enrollment Dept
Kansas City, MO 64108-4619
Phone (816) 701-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, KY, MS, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20220907001137 WI Practitioner - Pediatric Medicine 3971885831 Reassigns benefits to 3 organizations
I20231204003403 KY Practitioner - Pediatric Medicine 3971885831 Reassigns benefits to 1 organization
I20241003002685 MS Practitioner - Pediatric Medicine 3971885831 Reassigns benefits to 1 organization
I20250813000110 FL Practitioner - Pediatric Medicine 3971885831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532

8745 N Wickham Rd
Melbourne, FL 32940-5997

900 Hope Way
Managed Care
Altamonte Springs, FL 32714-1502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1659KYMDNeonatal-Perinatal Medicine Physician
65362MNMDNeonatal-Perinatal Medicine Physician
72811-20WIMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Sep 15, 2022 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jan 13, 2026 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Norton Children'S Medical Group, LLC Single Specialty CurrentSince Oct 11, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Single Specialty CurrentSince Oct 13, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. Single Specialty CurrentSince Sep 15, 2022 Accepting new patients
The Nemours Foundation CurrentSince Aug 9, 2025 Accepting new patients
The Finley Hospital Single Specialty CurrentSince Jul 18, 2018 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Oct 13, 2025 Accepting new patients
Norton Children'S Medical Group, LLC Single Specialty Current Accepting new patients
Aspirus Wausau Hospital, Inc. Single Specialty Current Accepting new patients
The Nemours Foundation Single Specialty Current Accepting new patients
The Nemours Foundation Single Specialty CurrentSince Aug 9, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 22, 2025 Accepting new patients
The Finley Hospital Single Specialty CurrentSince Jul 18, 2018 Accepting new patients
Wesley Physician Services LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Norton Children'S Medical Group, LLC Single Specialty CurrentSince Oct 11, 2023 Accepting new patients
Florida Hospital Medical Group Inc Single Specialty CurrentSince Sep 22, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc Single Specialty CurrentSince Jan 13, 2026 Accepting new patients
North Mississippi Gilmore Clinics, LLC Pediatrics Past Accepting new patients

Locations

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700

8745 N Wickham Rd
Viera, FL 32940
Phone (321) 434-7191

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

29980 Network Pl
Chicago, IL 60673

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: pnagaraj158878@epicdirect.hf.org
  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
  • Direct secure messaging: pankajnagaraj@nmhs.medalliesdirect.net

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1306040985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "address_2": "ATTN PROVIDER ENROLLMENT DEPT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-701-5200",
            "fax_number": "816-302-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-234-3000",
            "fax_number": "816-302-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARAJ",
        "first_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "C1659",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MO",
            "license": "2026021953",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "72811-20",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MN",
            "license": "65362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.