Individual provider Active NPI

Sashidhar Manthravadi, MD

  • Hematology & Oncology Physician
  • Liberty, MO
National Provider Identifier
1629495502
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2023026075 Issued in MO
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200615001465 KS Practitioner - Hematology/Oncology 9537462072 Reassigns benefits to 2 organizations
I20230814000308 MO Practitioner - Hematology/Oncology 9537462072 Reassigns benefits to 1 organization

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
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
88.35
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as group
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

LicenseStateTypeSpecialty
0443161KSMDHematology & Oncology Physician
2023026075MOMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc CurrentSince Aug 14, 2023 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Jan 1, 2023 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Jan 1, 2023 Accepting new patients
Central Care, PA PastSince Jul 1, 2020 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

  • Direct secure messaging: sashidhar.manthravadi@cccancer.ikm.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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

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

Verify at the official NPI Registry.