Individual provider Active NPI

Deepthi Vodnala, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Overland Park, KS
National Provider Identifier
1699903690
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
2015009833 Issued in MO
Practice address
12330 Metcalf Ave
Suite 280
Overland Park, KS 66213
Phone
(816) 931-1883
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301094198 MI
Cardiovascular Disease Physician 207RC0000X 04-38781 KS
Cardiovascular Disease Physician 207RC0000X 2015009833 MO
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 2015009833 MO Primary

Addresses

Primary practice location

12330 Metcalf Ave
Suite 280
Overland Park, KS 66213

Mailing address

PO Box 505008
Saint Louis, MO 63150-5008
Phone (816) 502-7000

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
I20160512001479 MO Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082916390 Reassigns benefits to 3 organizations
I20160603000479 KS Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082916390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

1001 6TH Ave
Leavenworth, KS 66048-3248

110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

12330 Metcalf Ave
Overland Park, KS 66213-1302

12330 Metcalf Ave
Overland Park, KS 66213-1324

13200 State Line Rd
Leawood, KS 66209-1701
Phone (913) 222-8380

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5700

20 NE Saint Lukes Blvd
Suite 240
Lees Summit, MO 64086-6019
Phone (816) 931-1883

2791 N Washington St
Saint Lukes Medical Group
Chillicothe, MO 64601-2902
Phone (660) 646-2682

2799 N Washington St
Chillicothe, MO 64601-2902
Phone (660) 646-1480

3066 N Kentucky St
Iola, KS 66749-1951
Phone (620) 365-1211

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (816) 932-4630

421 S Maple St
Garnett, KS 66032-1334
Phone (785) 204-8000

4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Phone (816) 931-1883

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

500 NE Barry Rd
Kansas City, MO 64155-2879
Phone (816) 251-5790

5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000

5844 NW Barry Rd
Kansas City, MO 64154-1483

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100

901 E 104TH St
Kansas City, MO 64131-4517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094198MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Hospital of Trenton CurrentSince Mar 19, 2017 Accepting new patients
Saint Luke'S Physician Group Inc Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Saint Luke'S Hospital of Trenton Current Accepting new patients
Saint Lukes Hospital of Chillicothe Cardiovascular Disease CurrentSince May 28, 2019 Accepting new patients
Saint Luke'S Hospital of Trenton Cardiovascular Disease CurrentSince Mar 19, 2017 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince May 28, 2019 Accepting new patients
St Lukes Hospital of Kansas City Past Accepting new patients
Saint Lukes Hospital of Garnett Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

4061 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 323-4600

13800 Metcalf Ave
Overland Park, KS 66223
Phone (800) 989-0525

12330 Metcalf Ave
Ste 280
Overland Park, KS 66213
Phone (913) 491-1000

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

4330 Wornall Rd
Ste 2000
Kansas City, MO 64111

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

Interoperability endpoints

  • Direct secure messaging: dvodnala223197@direct.hfhs.org
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • Direct secure messaging: dvodnala86818@direct.saint-lukes.org

Organizations & group practices 9

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 10

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1699903690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505008",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505008",
            "telephone_number": "816-502-7000",
            "fax_number": "816-932-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE",
            "address_2": "SUITE 280",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "816-931-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODNALA",
        "first_name": "DEEPTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301094198",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-38781",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2015009833",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "MO",
            "license": "2015009833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.