Active NPI
Pratibha Khare, MD
- Anesthesiology Physician
- Leawood, KS
National Provider Identifier
1689682676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0417737
- Practice address
- 11413 Ash St
Leawood Surgery Center
Leawood, KS 66211 - Phone
- (913) 661-9977
- Fax
- (913) 661-9577
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0417737 | KS | Primary |
Addresses
Primary practice location
11413 Ash St
Leawood Surgery Center
Leawood, KS 66211
Mailing address
11111 W 121 Terrace
Overland Park, KS 66213-1945
Phone (913) 897-4082
Other names 1
- Pratibha Shrivastava
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0417737 | KS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgicenter Anesthesia PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Leawood, KS
- NPI 1760502470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689682676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 W 121 TERRACE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131945",
"telephone_number": "913-897-4082",
"fax_number": "913-661-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11413 ASH ST",
"address_2": "LEAWOOD SURGERY CENTER",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "66211",
"telephone_number": "913-661-9977",
"fax_number": "913-661-9577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHARE",
"first_name": "PRATIBHA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KS",
"license": "0417737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRATIBHA",
"last_name": "SHRIVASTAVA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.