Individual provider Active NPI

Anirudha Halder, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Manhattan, KS
National Provider Identifier
1679636211
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
04-31028 Issued in KS
Practice address
1133 College Ave
Manhattan, KS 66502-2770
Phone
(785) 539-5363
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2005001739 MO
Anatomic Pathology Physician 207ZP0101X 245331 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 04-31028 KS Primary

Addresses

Primary practice location

1133 College Ave
Manhattan, KS 66502-2770

Mailing address

1133 College Ave
Manhattan, KS 66502-2770
Phone (785) 539-5363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20060214000441 MO Practitioner - Pathology 0547275430 Reassigns benefits to 1 organization
I20110614000148 KS Practitioner - Pathology 0547275430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irl Pathology Services Midamerica LLCGroup PAC ID 0840558664, 14 clinicians

Practice addresses (Care Compare)

2100 SE Blue Pkwy
Lee'S Summit, MO 64063-1007
Phone (816) 282-5642

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-6167

Hospital & facility affiliations

  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • Belton Regional Medical Center Hospital, Belton, MO, CCN 260214
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • Lafayette Regional Health Center Hospital, Lexington, MO, CCN 261320
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245331MAMDAnatomic Pathology Physician
04-31028KSMDAnatomic Pathology & Clinical Pathology Physician
2005001739MOMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irl Pathology Services Midamerica, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 13, 2018 Accepting new patients
Chariton Laboratory Services Inc Past Accepting new patients

Locations

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

Organizations & group practices 2

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 5

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1679636211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-539-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-539-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDER",
        "first_name": "ANIRUDHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2005001739",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MA",
            "license": "245331",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "04-31028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.