Individual provider Active NPI

Rajeeva K Bashyakarla, M.D.

  • Anesthesiology Physician
  • Wichita, KS
National Provider Identifier
1720068208
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
04-29069 Issued in KS
Practice address
1515 S Clifton Ave
#200
Wichita, KS 67218-2900
Phone
(316) 618-1515
Fax
(316) 618-8635
NPI assigned
Jan 19, 2006
Last updated
Apr 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 04-29069 KS Primary

Addresses

Primary practice location

1515 S Clifton Ave
#200
Wichita, KS 67218-2900

Mailing address

1515 S Clifton Ave
#200
Wichita, KS 67218-2900
Phone (316) 618-1515

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-29069KSMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Regional Medical Center Anesthesiology Past Accepting new patients
Kansas Professional Anesthesia and Pain Management Specialists, P.a. Anesthesiology PastSince Jan 1, 1990 Accepting new patients
Anesthesiology, Chartered Anesthesiology Past Accepting new patients
St Johns Regional Medical Center Anesthesiology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1720068208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "#200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-618-1515",
            "fax_number": "316-618-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "#200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-618-1515",
            "fax_number": "316-618-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHYAKARLA",
        "first_name": "RAJEEVA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "04-29069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.