Active NPI
Bharata Lankachandra, M.D.
- Internal Medicine Physician
- Overland Park, KS
National Provider Identifier
1417940313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-26655
- Practice address
- 10500 Quivira Rd
Overland Park, KS 66215-2306 - Phone
- (913) 541-5000
- NPI assigned
- Aug 25, 2005
- Last updated
- Aug 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100376130B | Medicaid | KS | |
| 207739541 | Medicaid | MO | |
| 21278014 | Other | BCBS | |
| 337910 | Other | FIRST GUARD | |
| 110231988 | Other | MO | RR MCR |
| 2499564 | Other | AETNA | |
| 100376130A | Medicaid | KS | |
| 738519 | Other | FIRST HEALTH |
Other names 1
- Bharata Kadupitige Aryaratna Lankachandra
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120430000303 | MO | Order and Referring Only - Internal Medicine | 0446218390 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-26655 | KS | MD | Internal Medicine Physician |
| 106838 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1013901404
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.