Individual provider Active NPI

Rachel Pellegrino, DO, MBA, MS

  • Psychiatry Physician
  • Kansas City, KS
National Provider Identifier
1508568353
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2026015148 Issued in MO
Practice address
3901 Rainbow Blvd # Ms 4015
Kansas City, KS 66160-1453
Phone
(913) 588-6400
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 94-11741 KS
Psychiatry Physician 2084P0800X 2026015148 MO Primary

Addresses

Primary practice location

3901 Rainbow Blvd # Ms 4015
Kansas City, KS 66160-1453

Mailing address

3901 Rainbow Blvd # Ms 4015
Kansas City, KS 66160-8500
Phone (913) 588-6400

Other practice location 1

7001 Blue Ridge Blvd
Raytown, MO 64133-5629
Phone (816) 988-2739

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
I20240626000443 KS Order and Referring Only - PsychiatryPractitioner - Psychiatry 2769926294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration, Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1508568353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 4015",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 4015",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661601453",
            "telephone_number": "913-588-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Blue Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Raytown",
            "state": "MO",
            "postal_code": "641335629",
            "country_code": "US",
            "telephone_number": "816-988-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "RACHEL",
        "credential": "DO, MBA, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "94-11741",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2026015148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.