Individual provider Active NPI

Ryan Bucani Utarnachitt, M.D., M.A., M.P.H

  • Gastroenterology Physician
  • Independence, MO
National Provider Identifier
1659545796
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2017044163 Issued in MO
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

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180730002646 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 3870661507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Specialists LLCGroup PAC ID 9739494832, 69 clinicians

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

ProcedureNumber of procedures
Colonoscopy141
Upper gastrointestinal (GI) endoscopy for acid reflux138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100613CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists, LLC Gastroenterology CurrentSince Aug 27, 2018 Accepting new patients
Midwest Division - LRHC LLC CurrentSince Jan 2, 2019 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.