Individual provider Active NPI

Bharata Lankachandra, M.D.

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1417940313
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-26655 Issued in KS
Practice address
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone
(913) 541-5000
NPI assigned
Aug 25, 2005
Last updated
Aug 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 106838 MO
Internal Medicine Physician 207R00000X 04-26655 KS Primary

Addresses

Primary practice location

10500 Quivira Rd
Overland Park, KS 66215-2306

Mailing address

10901 Granada LN
#200
Overland Park, KS 66211-1401
Phone (913) 660-1616

Other identifiers 8

IdentifierTypeStateIssuer
100376130BMedicaidKS
207739541MedicaidMO
21278014OtherBCBS
337910OtherFIRST GUARD
110231988OtherMORR MCR
2499564OtherAETNA
100376130AMedicaidKS
738519OtherFIRST HEALTH

Other names 1

  • Bharata Kadupitige Aryaratna Lankachandra Other name

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
I20120430000303 MO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0446218390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-26655KSMDInternal Medicine Physician
106838MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospital Specialists, P.a. Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1417940313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 GRANADA LN",
            "address_2": "#200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111401",
            "telephone_number": "913-660-1616",
            "fax_number": "913-660-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "913-541-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKACHANDRA",
        "first_name": "BHARATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "106838",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-26655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100376130B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207739541",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21278014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "337910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "110231988",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2499564",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100376130A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "738519",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHARATA",
            "last_name": "LANKACHANDRA",
            "middle_name": "KADUPITIGE ARYARATNA",
            "credential": "M.B.B.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.