Vellore Kirubakaran M D P a

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

04-19582 Issued in KS

Legal business name

VELLORE KIRUBAKARAN M D P A

Practice address

4121 W 83Rd St
Suite 254
Prairie Village, KS 66208-5300

Phone

(913) 649-5567

Fax

(913) 649-7563

NPI assigned

May 16, 2007

Last updated

Jul 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vellore Kirubakaran, M.D.NPI 1619009172

Title

President

Phone

(913) 649-5567

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vellore Kirubakaran, M.D.

  • Psychiatry Physician
  • Prairie Village, KS
  • NPI 1619009172
  Medicare reassignment Authorized official
• Thomas A Bettis Jr., LSCSW

  • Clinical Social Worker
  • Prairie Village, KS
  • NPI 1194932764
  NPD (past)
• Claudia Elise Cleveland-Soter, PSY.D.

  • Clinical Psychologist
  • Fort Leavenworth, KS
  • NPI 1831180538
  NPD (past)
• Victoria Belinda Kirubakaran, M.S. L.M.L.P., L.C.P

  • Psychologist
  • Overland Park, KS
  • NPI 1548331382
  NPD (past)
• Carol L Silberman, LSCSW

  • Clinical Social Worker
  • Leawood, KS
  • NPI 1023028875
  NPD (past)
• Everette Theodore Sitzman Jr., MD

  • Psychiatry Physician
  • Prairie Village, KS
  • NPI 1871572792
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1669689188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27127",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662257127",
            "telephone_number": "913-649-5567",
            "fax_number": "913-649-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST",
            "address_2": "SUITE 254",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085300",
            "telephone_number": "913-649-5567",
            "fax_number": "913-649-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELLORE KIRUBAKARAN M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "KIRUBAKARAN",
        "authorized_official_first_name": "VELLORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-649-5567",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-19582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "25463021",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202129227",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100115600D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diego H Ugaz
• Steven R Unterman, M.D.
• Lisa R Utt, PMHNP
• Andrew Blake Vanblarcom, D.D.S.
• Clifford Winters Vanblarcom, DDS
• Erin Vera
• Verge KC LLC
• Susan Verstraete
• Village Complete Dentistry, LLC
• Village Modern Dentistry, PA (Village Modern Dentistry)

• Psychiatry Physician in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.