Individual provider Active NPI

Radhika Veerapaneni, OD

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1841284296
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2001019373 Issued in MO
Practice address
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone
(816) 923-5800
Fax
(816) 922-7617
NPI assigned
Aug 31, 2005
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1607 KS
Optometrist 152W00000X 2001019373 MO Primary

Addresses

Primary practice location

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807

Mailing address

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 922-7645

Other identifiers 1

IdentifierTypeStateIssuer
315883702MedicaidMO

Other names 1

  • Miss Radhika Pavuluri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160415000180 MO Practitioner - Optometry 2961700570 Reassigns benefits to 2 organizations
I20250813002722 KS Practitioner - Optometry 2961700570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samuel U Rodgers Health Center IncGroup PAC ID 9739092826, shared by 6 NPIs, 28 clinicians

Practice addresses (Care Compare)

825 Euclid Ave
Kansas City, MO 64124-2323
Phone (816) 474-4920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1607KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Feb 21, 2016 Accepting new patients
Samuel U. Rodgers Health Center, Inc CurrentSince Jan 27, 2025 Accepting new patients
Samuel U. Rodgers Health Center, Inc. CurrentSince Jan 27, 2025 Accepting new patients
Swope Health Services CurrentSince Feb 21, 2016 Accepting new patients
Aria Vision Care, LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Swope Health Services Past Accepting new patients

Locations

8500 W 110th St
Ste 260
Overland Park, KS 66210
Phone (941) 224-3674

112 SW 7th St
Ste 3C
Topeka, KS 66603
Phone (305) 239-4737

11320 E Truman Rd
Independence, MO 64050
Phone (816) 599-5201

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

825 Euclid Ave
Kansas City, MO 64124
Phone (816) 889-4816

Interoperability endpoints

  • Direct secure messaging: radhika.veerapaneni.p1@direct.rodgershealth.nextgenshare.com

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, 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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1841284296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-922-7645",
            "fax_number": "816-922-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-923-5800",
            "fax_number": "816-922-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERAPANENI",
        "first_name": "RADHIKA",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1607",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2001019373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315883702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RADHIKA",
            "last_name": "PAVULURI",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.