Organization Active NPI

Kala Danushkodi MD LLC

  • Physical Medicine & Rehabilitation Physician
  • North Kansas City, MO
National Provider Identifier
1821312372
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2002013878 Issued in MO
Legal business name
KALA DANUSHKODI MD LLC
Practice address
2700 Clay Edwards Dr
Suite 310
North Kansas City, MO 64116-3251
Phone
(816) 455-1313
Fax
(816) 455-1314
NPI assigned
Mar 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Dr. Kala Danushkodi, M.D.NPI 1780640276
Title
President
Phone
(816) 455-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 3

IdentifierTypeStateIssuer
1780640276OtherPROVIDER NPI
2002013878OtherMOPHYSICIAN LICENSE
205913817MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100730000614 MO Part B Supplier - Clinic/Group Practice 9830222652 Receives reassigned benefits from 1 practitioner
Practice locations: North Kansas City, MO

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1821312372",
    "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": {
        "organization_name": "KALA DANUSHKODI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "DANUSHKODI",
        "authorized_official_first_name": "KALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-455-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2002013878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1780640276",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "2002013878",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205913817",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.