Organization Active NPI

Sivakoti R Katta, LLC

  • Medical Specialty Clinic/Center
  • Kansas City, KS
National Provider Identifier
1457867905
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SIVAKOTI R KATTA, LLC
Doing business as
Sivakoti R Katta, LLC
Practice address
8919 Parallel Pkwy Ste 215
Kansas City, KS 66112-1655
Phone
(913) 499-8091
Fax
(913) 499-7440
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Dr. Sivakoti Katta, MDNPI 1558474486
Title
Physician
Phone
(913) 499-8091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

8919 Parallel Pkwy Ste 215
Kansas City, KS 66112-1655

Mailing address

8919 Parallel Pkwy Ste 215
Kansas City, KS 66112-1682
Phone (913) 499-8091

Other identifiers 1

IdentifierTypeStateIssuer
100206070BMedicaidKS

Other names 1

  • Sivakoti R Katta, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180315002265 KS Part B Supplier - Clinic/Group Practice 0547522211 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, KS

National Provider Directory

National Provider Directory

Locations

8919 Parallel Pkwy
Ste 215
Kansas City, KS 66112
Phone (913) 499-8091

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1457867905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY STE 215",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121682",
            "telephone_number": "913-499-8091",
            "fax_number": "913-499-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY STE 215",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121655",
            "telephone_number": "913-499-8091",
            "fax_number": "913-499-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVAKOTI R KATTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "KATTA",
        "authorized_official_first_name": "SIVAKOTI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "913-499-8091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100206070B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sivakoti R Katta, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sivakoti R Katta, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.