Individual provider Active NPI

Raghavendra B. Adiga, M.D.

  • Infectious Disease Physician
  • Kansas City, MO
National Provider Identifier
1801859624
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
113625 Issued in MO
Practice address
200 NE 54TH St
Suite 111
Kansas City, MO 64118-4389
Phone
(816) 799-0180
Fax
(630) 528-9579
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 113625 MO Primary

Addresses

Primary practice location

200 NE 54TH St
Suite 111
Kansas City, MO 64118-4389

Mailing address

4601 W 109TH St Ste 100
Overland Park, KS 66211-1313
Phone (913) 942-0540

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital Corporation 135 clinicians

Practice addresses (Care Compare)

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 781-7200

Hospital & facility affiliations

  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
69.99
Promoting interoperability
99
Improvement activities
40
Cost
68.22

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
I20040901001344 MO Practitioner - Infectious Disease 4183699010 Reassigns benefits to 1 organization

All facility ownership & control disclosures 2

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Liberty HospitalLiberty, MO, CCN 260177 Hospital Corporate Director
W-2 Managing Employee
Jul 1, 2024
Jul 1, 2024
The Plattsburg ClinicPlattsburg, MO, CCN 263929 Rural health clinic Corporate Officer
Corporate Director
Jul 1, 2024
Jul 1, 2024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113625MOMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Corporation CurrentSince Feb 6, 2019 Accepting new patients
New Liberty Hospital Corporation Current Accepting new patients
New Liberty Hospital Coporation CurrentSince Feb 6, 2019 Accepting new patients
Northwest Health Services Inc Past Accepting new patients

Locations

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1801859624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111313",
            "telephone_number": "913-942-0540",
            "fax_number": "630-528-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE 54TH ST",
            "address_2": "SUITE 111",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184389",
            "telephone_number": "816-799-0180",
            "fax_number": "630-528-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIGA",
        "first_name": "RAGHAVENDRA",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "113625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.