Shruti Tilak, MBBS

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

94-11758 Issued in KS

Practice address

3901 Rainbow Blvd # Ms 4015
Kansas City, KS 66160-3815

Phone

(913) 588-6400

NPI assigned

Jan 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1649040809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 SUSSEX RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093556"
        },
        {
            "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": "661603815",
            "telephone_number": "913-588-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILAK",
        "first_name": "SHRUTI",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "94-11758",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2026028296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeana D. Thurston, APRN, NP-C
• Debra F Tickles, M.D.
• Grace Elizabeth Tideman, MD
• Lauren Nicole Tiehen, LMSW
• Kristen Gable Tierney, ACNP
• Daniel Robert Tilden, M.D.
• Ronald Tilman Sr.
• Lowell L Tilzer, M.D.,PHD
• Sunita Timilsina, MD
• Alexander Tindall, CRNA

• Psychiatry Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.