Individual provider Active NPI

Bhaswanth Dhanireddy, M.D.

  • Radiation Oncology Physician
  • Shawnee Mission, KS
National Provider Identifier
1679972467
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
04-41946 Issued in KS
Practice address
9301 W 74TH St Ste 100
Shawnee Mission, KS 66204-2217
Phone
(913) 632-9100
Fax
(913) 632-9159
NPI assigned
Aug 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 04-41946 KS Primary

Addresses

Primary practice location

9301 W 74TH St Ste 100
Shawnee Mission, KS 66204-2217

Mailing address

6601 Winchester Ave Ste 230
Kansas City, MO 64133-4681
Phone (816) 313-2677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190516000111 KS Practitioner - Radiation Oncology 0143518191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shawnee Mission Medical Center IncGroup PAC ID 9537119037, 282 clinicians

Practice addresses (Care Compare)

9100 W 74TH St
Ahmg Cardiology at Shawnee Mission
Merriam, KS 66204-4004
Phone (913) 676-2000

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Health Physicians, Inc. Current Accepting new patients
Shawnee Mission Medical Center Inc CurrentSince Mar 6, 2023 Accepting new patients

Locations

7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938

15123 S Omc Pkwy
Olathe, KS 66061
Phone (913) 355-8000

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Interoperability endpoints

  • Direct secure messaging: bdhanireddy661599@adventhealth.direct-ci.com

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 6

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": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1679972467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 WINCHESTER AVE STE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334681",
            "telephone_number": "816-313-2677",
            "fax_number": "816-313-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 W 74TH ST STE 100",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042217",
            "telephone_number": "913-632-9100",
            "fax_number": "913-632-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANIREDDY",
        "first_name": "BHASWANTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-41946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.