Individual provider Active NPI

Saroj A Bavishi, M.D.

  • Obstetrics & Gynecology Physician
  • Olathe, KS
National Provider Identifier
1477608784
Registry record updated Dec 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
KS0418341 Issued in KS
Practice address
20375 W 151St St
Suite 407
Olathe, KS 66061-7218
Phone
(913) 829-9100
Fax
(913) 829-9110
NPI assigned
Jan 24, 2007
Last updated
Dec 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X KS0418341 KS Primary

Addresses

Primary practice location

20375 W 151St St
Suite 407
Olathe, KS 66061-7218

Mailing address

20375 W 151St St
Ste 407
Olathe, KS 66061-7209
Phone (913) 897-9433

Other identifiers 1

IdentifierTypeStateIssuer
2050606101MedicaidKS

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
I20120308000359 KS Practitioner - Obstetrics/Gynecology 8729247887 Practice locations: Olathe, KS

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KS0418341KSMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482624000000",
    "number": "1477608784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "address_2": "STE 407",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617209",
            "telephone_number": "913-897-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "address_2": "SUITE 407",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617218",
            "telephone_number": "913-829-9100",
            "fax_number": "913-829-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVISHI",
        "first_name": "SAROJ",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "KS0418341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050606101",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.