Individual provider Active NPI

Naga Venkata Krishna Chand Pothineni, M.D

  • Clinical Cardiac Electrophysiology Physician
  • Overland Park, KS
National Provider Identifier
1437437498
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0444715 Issued in KS
Practice address
5100 W 110TH St
Overland Park, KS 66211-1215
Phone
(913) 934-4300
NPI assigned
Jul 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E-8434 AR
Clinical Cardiac Electrophysiology Physician 207RC0001X 0444715 KS Primary

Addresses

Primary practice location

5100 W 110TH St
Overland Park, KS 66211-1215

Mailing address

5100 W 110TH St
Overland Park, KS 66211-1215
Phone (913) 934-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20210816000567 MO Practitioner - Cardiovascular Disease (Cardiology) 5698081859 Reassigns benefits to 1 organization
I20210816000745 KS Practitioner - Cardiovascular Disease (Cardiology) 5698081859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Heart and Vascular Specialists LLCGroup PAC ID 7618122417, 81 clinicians

Practice addresses (Care Compare)

19600 E 39TH St S
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 698-7000

2000 SE Blue Pkwy
Suite 250
Lees Summit, MO 64063-1029
Phone (913) 906-0833

2316 E Meyer Blvd
Research Medical Center
Kansas City, MO 64132-1136
Phone (913) 253-3000

2330 E Meyer Blvd
Suite 411B
Kansas City, MO 64132-1132
Phone (913) 934-4300

5100 W 110TH St
Suite 200
Overland Park, KS 66211-1215
Phone (913) 253-3000

Hospital & facility affiliations

  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175

Merit-based Incentive Payment System (MIPS)

Final score
82.3 of 100Reported as group
Quality
64.66
Promoting interoperability
99
Improvement activities
40
Cost
71.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0444715KSMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Heart & Vascular Specialists, LLC Cardiovascular Disease CurrentSince Aug 15, 2021 Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients

Locations

5100 W 110th St
Ste 200
Overland Park, KS 66211
Phone (913) 253-3000

5100 W 110th St
Overland Park, KS 66211
Phone (616) 340-7707

12200 W 106th St
Ste 315
Overland Park, KS 66215
Phone (913) 348-4202

5100 W 110th St
Ste 140
Overland Park, KS 66211
Phone (913) 934-4300

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

19550 E 39th St S
Ste 225
Independence, MO 64057
Phone (816) 228-2060

2000 SE Blue Pkwy
Ste 250
Lees Summit, MO 64063
Phone (816) 795-8200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: nagavenkata.pothineni@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 5

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1437437498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111215",
            "telephone_number": "913-934-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111215",
            "telephone_number": "913-934-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTHINENI",
        "first_name": "NAGA VENKATA",
        "middle_name": "KRISHNA CHAND",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E-8434",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KS",
            "license": "0444715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.