Active NPI
Sashidhar Manthravadi, MD
- Hematology & Oncology Physician
- Liberty, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2023026075
- Practice address
- 2529 Glenn Hendren Dr Ste G30
Liberty, MO 64068-9610 - Phone
- (816) 251-5600
- NPI assigned
- Mar 28, 2014
- Last updated
- Aug 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0443161 | KS | |
| Hematology & Oncology Physician | 207RH0003X | 2023026075 | MO | Primary |
Addresses
Primary practice location
2529 Glenn Hendren Dr Ste G30
Liberty, MO 64068-9610
Mailing address
901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 251-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
2529 Glenn Hendren Dr
Suite G30
Liberty, MO 64068-9610
Phone (816) 454-1658
Hospital & facility affiliations
- Saint Lukes Home Care
- St Lukes Hospital of Kansas City
- Hedrick Medical Center
- Wright Memorial Hospital
- Saint Lukes North Hospital
- Liberty Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.69 of 100
- Quality
- 88.35
- Promoting interoperability
- 97
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.53 of 100
- Quality
- 83.61
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0443161 | KS | MD | Hematology & Oncology Physician |
| 2023026075 | MO | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke's Physician Group Inc | Current | Accepting new patients | |
| Prime Healthcare Physician Services - Providence Inc | Current | Accepting new patients | |
| Prime Healthcare Physician Services - Providence Inc | Current | Accepting new patients | |
| Central Care, PA | Past | Accepting new patients |
Locations
8919 Parallel Pkwy
Ste 326
Kansas City, KS 66112
Phone (913) 299-8846
8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930
8929 Parallel Pkwy
Ste G
Kansas City, KS 66112
Phone (913) 318-7821
757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299
3550 S 4th St
Ste 115
Leavenworth, KS 66048
Phone (913) 596-3940
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
5844 NW Barry Rd
Ste 40
Kansas City, MO 64154
Phone (816) 880-3876
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
2529 Glenn Hendren Dr
Ste G30
Liberty, MO 64068
Phone (816) 251-5600
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700
Interoperability endpoints
- sashidhar.manthravadi@cccancer.ikm.direct-ci.com
- smanthravadi66241@direct.saint-lukes.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS
-
dba Providence Medical Group
- General Practice Physician
- Shawnee, KS
- NPI 1356683213
-
- General Practice Physician
- Leavenworth, KS
- NPI 1972119741
-
dba Central Care Cancer Center
- Radiation Oncology Physician
- Kansas City, KS
- NPI 1891335873
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1548001464
-
dba SLHS Home Care and Hospice
- Home Health Agency
- Kansas City, MO
- NPI 1114984275
-
dba Wright Memorial Hospital
- Critical Access Hospital
- Trenton, MO
- NPI 1841274057
-
dba Saint Luke's Norland Hospital-Smithville
- General Acute Care Hospital
- Kansas City, MO
- NPI 1942241799
-
dba Hedrick Medical Center
- Critical Access Hospital
- Chillicothe, MO
- NPI 1912948308
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1629495502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MAILSTOP 400S",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64131",
"telephone_number": "816-251-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2529 GLENN HENDREN DR STE G30",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640689610",
"telephone_number": "816-251-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTHRAVADI",
"first_name": "SASHIDHAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-28",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KS",
"license": "0443161",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "2023026075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.