Individual provider Active NPI

Rachel Bonk, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Kansas City, KS
National Provider Identifier
1396523148
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
94-12311 Issued in KS
Practice address
3901 Rainbow Blvd # Ms 1060
Kansas City, KS 66160-1886
Phone
(913) 588-5000
NPI assigned
Sep 21, 2023
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 94-12311 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd # Ms 1060
Kansas City, KS 66160-1886

Mailing address

3901 Rainbow Blvd # Ms 1060
Kansas City, KS 66160-2943

Other practice location 1

1111 W 17th St
Tulsa, OK 74107-1886
Phone (918) 582-1972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20250617000283 KS Order and Referring Only - PathologyPractitioner - Pathology 8426569468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-12311KSMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1396523148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 1060",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661602943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 1060",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661601886",
            "telephone_number": "913-588-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W 17th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741071886",
            "country_code": "US",
            "telephone_number": "918-582-1972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONK",
        "first_name": "RACHEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "94-12311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.