Individual provider Active NPI

Siva Kumar R. Soma, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Kansas City, KS
National Provider Identifier
1407016694
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
04-48923 Issued in KS
Practice address
4000 Cambridge St Ste G600
Kansas City, KS 66160-8501
Phone
(913) 588-9600
NPI assigned
Jun 11, 2008
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 32513 OK
Clinical Cardiac Electrophysiology Physician 207RC0001X 2024014228 MO
Clinical Cardiac Electrophysiology Physician 207RC0001X 04-48923 KS Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 49811 KY

Addresses

Primary practice location

4000 Cambridge St Ste G600
Kansas City, KS 66160-8501

Mailing address

4000 Cambridge St Ste G600
Kansas City, KS 66160-8501
Phone (913) 588-9600

Other practice location 1

1265 S Utica Ave
Suite 300
Tulsa, OK 74104-4243
Phone (918) 592-0999

Other identifiers 2

IdentifierTypeStateIssuer
7100428000MedicaidKY
222672MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240430002044 KS Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9739376211 Reassigns benefits to 2 organizations
I20240520003078 MO Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9739376211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Pittsburgh School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians
Mid-America Cardiology Associates IncGroup PAC ID 7012801103, 110 clinicians
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

10787 Nall Ave
Suite 210
Overland Park, KS 66211-1375
Phone (913) 588-8400

10787 Nall Ave
Suite 300
Overland Park, KS 66211-1372
Phone (913) 588-9400

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

1530 N Church Rd
Liberty, MO 64068-7129
Phone (816) 781-1696

2521 Glenn Hendren Dr
Suite 306
Liberty, MO 64068-3388
Phone (816) 407-5430

2790 Clay Edwards Dr
Suite 405
North Kansas City, MO 64116-3274
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

5701 State Ave
Suite 300
Kansas City, KS 66102-1286
Phone (913) 588-9700

7420 Switzer Rd
Shawnee, KS 66203-4550
Phone (913) 588-1227

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair66
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-48923KSMDClinical Cardiac Electrophysiology Physician
49811KYMDClinical Cardiac Electrophysiology Physician
32513OKMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
New Liberty Hospital Coporation CurrentSince May 30, 2024 Accepting new patients
Kansas University Physicians Inc Clinical Cardiac Electrophysiology CurrentSince Apr 1, 2025 Accepting new patients
Mid-America Cardiology Associates, Inc. Clinical Cardiac Electrophysiology CurrentSince Apr 1, 2024 Accepting new patients
New Liberty Hospital Corporation Current Accepting new patients
New Liberty Hospital Corporation CurrentSince May 30, 2024 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients

Locations

820 Ravenhill Dr
Ste 160A
Atchison, KS 66002
Phone (913) 367-6227

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Ste G600
Kansas City, KS 66160
Phone (913) 588-7743

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

10787 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 588-9400

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

1530 N Church Rd
Liberty, MO 64068
Phone (816) 415-1900

2521 Glenn Hendren Dr
Ste 306
Liberty, MO 64068
Phone (816) 407-5430

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

3943 Sherman Ave
Saint Joseph, MO 64506
Phone (816) 279-6666

Interoperability endpoints

  • Direct secure messaging: ssoma734564@direct.kuha.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1407016694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST STE G600",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST STE G600",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 S Utica Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741044243",
            "country_code": "US",
            "telephone_number": "918-592-0999",
            "fax_number": "918-592-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMA",
        "first_name": "SIVA KUMAR",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OK",
            "license": "32513",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "2024014228",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KS",
            "license": "04-48923",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "49811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100428000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222672",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.