Active NPI
Ryan Bucani Utarnachitt, M.D., M.A., M.P.H
- Gastroenterology Physician
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2017044163
- Practice address
- 3800 S Whitney Ave Ste 200
Independence, MO 64055-6739 - Phone
- (816) 478-4887
- Fax
- (816) 478-7140
- NPI assigned
- Apr 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2017044163 | MO | Primary |
Addresses
Primary practice location
3800 S Whitney Ave Ste 200
Independence, MO 64055-6739
Mailing address
1419 N Acacia Ave Ste 101
Reedley, CA 93654-2197
Phone (559) 391-3160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Wayne State University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 S Whitney Ave
Suite 200
Independence, MO 64055-6739
Phone (816) 478-4887
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 141 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 138 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100613 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Specialists, LLC | Gastroenterology | Current | Accepting new patients |
| Midwest Division - LRHC LLC | Current | Accepting new patients | |
| Consultants in Gastroenterology, PC | Past | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
3800 S Whitney Ave
Ste 100
Independence, MO 64055
3800 S Whitney Ave
Ste 200
Independence, MO 64055
17501 E US Highway 40
Ste 213A
Independence, MO 64055
Phone (816) 478-7887
5330 N Oak Trfy
Ste 102
Kansas City, MO 64118
Phone (816) 459-9300
1500 State St
Lexington, MO 64067
Phone (660) 259-2203
2521 Glenn Hendren Dr
Ste 408
Liberty, MO 64068
Phone (816) 474-9353
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Independence, MO
- NPI 1801286844
-
- Critical Access Hospital
- Lexington, MO
- NPI 1639362460
-
- Specialist
- Independence, MO
- NPI 1932189768
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1992742852
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1548001464
-
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1659545796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 N ACACIA AVE STE 101",
"city": "REEDLEY",
"state": "CA",
"postal_code": "936542197",
"telephone_number": "559-391-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S WHITNEY AVE STE 200",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556739",
"telephone_number": "816-478-4887",
"fax_number": "816-478-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTARNACHITT",
"first_name": "RYAN",
"middle_name": "BUCANI",
"name_prefix": "Dr.",
"credential": "M.D., M.A., M.P.H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-19",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2017044163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.