Srinivasa Rao Vasa, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

04-27796 Issued in KS

Practice address

3601 S 4TH St
Suite #5
Leavenworth, KS 66048-5015

Phone

(913) 220-5193

Fax

(913) 814-9989

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Gastroenterology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint John Hospital Hospital, Leavenworth, KS, CCN 170009
• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

Merit-based Incentive Payment System (MIPS)

Final score

88.95 of 100Reported as individual

Quality

83.82

Promoting interoperability

98

Improvement activities

40

Cost

81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srinivasa.vasa.1@8648.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8648/brand/1/csg/1/fhir/r4

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.

• Northeast Kansas Gi Consultants PA

  • Gastroenterology Physician
  • Leavenworth, KS
  • NPI 1326080755
  Medicare reassignment NPD
• Orthopedic Surgery and Sports Medicine of Kansas City Ossm

  • Orthopaedic Surgery Physician
  • Lenexa, KS
  • NPI 1952047839
  NPD (past)

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

• Prime Healthcare Services - Saint John Leavenworth, LLC

  dba Saint John Hospital

  • General Acute Care Hospital
  • Leavenworth, KS
  • NPI 1568705267
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  dba AdventHealth Shawnee Mission

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1457398190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S 4TH ST",
            "address_2": "SUITE #5",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485015",
            "telephone_number": "913-220-5193",
            "fax_number": "913-814-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 4TH ST",
            "address_2": "SUITE #5",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485015",
            "telephone_number": "913-220-5193",
            "fax_number": "913-814-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASA",
        "first_name": "SRINIVASA RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "04-27796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Jean Vanderslice, RN, MSN, MBA, CHSE
• Jerald Jeofrey Vandevoort, LMSW
• Lauren Vanzant, M.S. CCC-SLP
• Perla Varela
• Jose Francisco Vargas, LMSW
• Lynn A Vaughan, MD
• Raisa Velez Bruckman
• Ramachandran Venkatesh, MD
• Lori Vetere, APRN, RN
• Me'Kenzie Vice

• Gastroenterology Physician in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Gastroenterology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.