Individual provider Active NPI

Ishita Kamboj, M.B.B.S.

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1336935105
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2025026559 Issued in MO
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014000290 MO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1355838459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025026559MOMDInternal 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

Verify at the official NPI Registry.