Active NPI
Kala Danushkodi MD LLC
- Physical Medicine & Rehabilitation Physician
- North Kansas City, MO
National Provider Identifier
1821312372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2002013878
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kala Danushkodi, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780640276 | Other | PROVIDER NPI | |
| 2002013878 | Other | MO | PHYSICIAN LICENSE |
| 205913817 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- North Kansas City, MO
- NPI 1780640276
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.