Active NPI
Anirudha Halder, MD
- Anatomic Pathology & Clinical Pathology Physician
- Manhattan, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 04-31028
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Belton Regional Medical Center
- Research Medical Center
- Lafayette Regional Health Center
- Menorah Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245331 | MA | MD | Anatomic Pathology Physician |
| 04-31028 | KS | MD | Anatomic Pathology & Clinical Pathology Physician |
| 2005001739 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irl Pathology Services Midamerica, LLC | Anatomic Pathology & Clinical Pathology | Current | 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Kansas City, MO
- NPI 1497271480
KS
-
- Clinical Medical Laboratory
- Kirksville, MO
- NPI 1326030263
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1255378337
-
- Critical Access Hospital
- Lexington, MO
- NPI 1679520258
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1225085871
-
- General Acute Care Hospital
- Belton, MO
- NPI 1063470763
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.