Individual provider Active NPI

Kala Danushkodi, M.D.

  • Physical Medicine & Rehabilitation Physician
  • North Kansas City, MO
National Provider Identifier
1780640276
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2002013878 Issued in MO
Practice address
2700 Clay Edwards Dr
Suite 310
North Kansas City, MO 64116-3251
Phone
(816) 455-1313
Fax
(816) 455-1314
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2002013878 MO Primary

Addresses

Primary practice location

2700 Clay Edwards Dr
Suite 310
North Kansas City, MO 64116-3251

Mailing address

2700 Clay Edwards Dr
Suite 310
North Kansas City, MO 64116-3251
Phone (816) 455-1313

Other identifiers 1

IdentifierTypeStateIssuer
205913817MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050922001087 MO Practitioner - Physical Medicine and Rehabilitation 5496789091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability KCGroup PAC ID 0143116368, 166 clinicians

Practice addresses (Care Compare)

2700 Clay Edwards Dr
Suite 310
North Kansas City, MO 64116-3249
Phone (816) 455-1313

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • North Kansas City Hospital Inpatient rehabilitation facility, North Kansas City, MO, CCN 26T096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002013878MOMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kala Danushkodi MD LLC Physical Medicine & Rehabilitation CurrentSince Nov 1, 2005 Accepting new patients
North Kansas City Hospital Past Accepting new patients
Heartland Regional Medical Center Physical Medicine & Rehabilitation Past Accepting new patients
North Kansas City Hospital Past Accepting new patients
Midwestern Health Management, Inc. Past Accepting new patients

Locations

5400 N Oak Trfy
Ste 100
Kansas City, MO 64118
Phone (816) 453-6200

2700 Clay Edwards Dr
Ste 310
North Kansas City, MO 64116
Phone (816) 455-1313

Organizations & group practices 6

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1780640276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR",
            "address_2": "SUITE 310",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163251",
            "telephone_number": "816-455-1313",
            "fax_number": "816-455-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR",
            "address_2": "SUITE 310",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163251",
            "telephone_number": "816-455-1313",
            "fax_number": "816-455-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANUSHKODI",
        "first_name": "KALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2002013878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205913817",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.