Individual provider Active NPI

Shravan Nadella, D.O

  • Internal Medicine Physician
  • Kansas City, KS
National Provider Identifier
1447662911
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9408421 Issued in KS
Practice address
Kumc Internal Medicine Residency
3901 Rainbow Blvd Ms 2027
Kansas City, KS 66160-0001
Phone
(913) 588-3974
Fax
(913) 588-0593
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9408421 KS Primary

Addresses

Primary practice location

Kumc Internal Medicine Residency
3901 Rainbow Blvd Ms 2027
Kansas City, KS 66160-0001

Mailing address

Kumc Internal Medicine Residency
3901 Rainbow Blvd Ms 2027
Kansas City, KS 66160-0001
Phone (913) 588-3974

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
I20170810002118 KS Practitioner - Internal Medicine 1759686959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-6431

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9408421KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Internal Medicine Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jul 1, 2017 Accepting new patients
Kansas University Physicians Inc Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
University of Kansas Hospital Authority Past Accepting new patients

Locations

3901 Rainbow Blvd
#2027
Kansas City, KS 66160
Phone (913) 588-3974

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

Interoperability endpoints

  • Direct secure messaging: snadella301485@direct.kuha.org

Organizations & group practices 4

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 2

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1447662911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KUMC INTERNAL MEDICINE RESIDENCY",
            "address_2": "3901 RAINBOW BLVD MS 2027",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-3974",
            "fax_number": "913-588-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KUMC INTERNAL MEDICINE RESIDENCY",
            "address_2": "3901 RAINBOW BLVD MS 2027",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-3974",
            "fax_number": "913-588-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADELLA",
        "first_name": "SHRAVAN",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9408421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.