Active NPI
Ishita Kamboj, M.B.B.S.
- Internal Medicine Physician
- Kansas City, MO
National Provider Identifier
1336935105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2025026559
- Practice address
- 1000 Carondelet Drive
St. Joseph Medical Center
Kansas City, MO 64114 - Phone
- (816) 943-7604
- Fax
- (816) 943-4757
- NPI assigned
- Apr 17, 2025
- Last updated
- Nov 11, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2025026559 | NU | |
| Internal Medicine Physician | 207R00000X | 2025026559 | MO | Primary |
Addresses
Primary practice location
1000 Carondelet Drive
St. Joseph Medical Center
Kansas City, MO 64114
Mailing address
1000 Carondelet Drive
St. Joseph Medical Center
Kansas City, MO 64114
Phone (816) 943-7604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251014000290 | MO | Order and Referring Only - Internal Medicine | 1355838459 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025026559 | MO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1336935105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CARONDELET DRIVE",
"address_2": "ST. JOSEPH MEDICAL CENTER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64114",
"telephone_number": "816-943-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CARONDELET DRIVE",
"address_2": "ST. JOSEPH MEDICAL CENTER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64114",
"telephone_number": "816-943-7604",
"fax_number": "816-943-4757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMBOJ",
"first_name": "ISHITA",
"credential": "M.B.B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-17",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": "2025026559",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2025026559",
"primary": true
}
],
"identifiers": [],
"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 Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.