NPIMap

Organization Active NPI

Mawd Pathologists, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lenexa, KS
National Provider Identifier
1376209130
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MAWD PATHOLOGISTS, LLC
Practice address
9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone
(913) 396-8509
Fax
(913) 967-5052
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Monisha N DandekarNPI 1093832131
Title
Owner/Manager
Phone
(913) 361-8528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZB0001X
Cytopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0500X
Dermatopathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZD0900X
Hematology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZH0000X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

9705 Lenexa Dr
Lenexa, KS 66215-1345

Mailing address

9705 Lenexa Dr
Lenexa, KS 66215-1345
Phone (913) 396-8509

Other identifiers 3

IdentifierTypeStateIssuer
2012291710FMedicaidOK
500109321MedicaidMO
30004822860001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220516001933 KS Part B Supplier - Clinic/Group Practice 5193102028 Receives reassigned benefits from 38 practitioners
Practice locations: Hiawatha, KS; Shawnee Mission, KS; Parsons, KS; Overland Park, KS; Ottawa, KS; Lenexa, KS; Leavenworth, KS; Kansas City, KS…
O20220517002528 MO Part B Supplier - Clinic/Group Practice 5193102028 Receives reassigned benefits from 37 practitioners
Practice locations: Kansas City, MO; Nevada, MO; Liberty, MO; Lees Summit, MO; Joplin, MO; Excelsior Springs, MO; Clinton, MO; Butler, MO…
O20240916000424 OK Part B Supplier - Clinic/Group Practice 5193102028 Receives reassigned benefits from 3 practitioners
Practice locations: Enid, OK

National Provider Directory

National Provider Directory

Locations

4400 Broadway Blvd
Ste 400
Kansas City, MO 64111
Phone (816) 584-8100

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Practitioners & affiliated clinicians

Practitioners 123

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 123

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1376209130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 LENEXA DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151345",
            "telephone_number": "913-396-8509",
            "fax_number": "913-318-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 LENEXA DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151345",
            "telephone_number": "913-396-8509",
            "fax_number": "913-967-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAWD PATHOLOGISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "DANDEKAR",
        "authorized_official_first_name": "MONISHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "913-361-8528"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012291710F",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500109321",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004822860001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.