Individual provider Active NPI

Kishan Yalavarthi, MD

  • Diagnostic Radiology Physician
  • Kansas City, KS
National Provider Identifier
1841328606
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
04-29675 Issued in KS
Practice address
4000 Cambridge St
Kansas City, KS 66160-3417
Phone
(913) 588-1235
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2002010077 MO
Diagnostic Radiology Physician 2085R0202X 04-29675 KS Primary

Addresses

Primary practice location

4000 Cambridge St
Kansas City, KS 66160-3417

Mailing address

1715 Deer Tracks TRL
Suite 130
Saint Louis, MO 63131-1839
Phone (314) 821-5600

Other practice location 1

232 S Woods Mill Rd
Chesterfield, MO 63017-3417
Phone (314) 205-6100 ext. 4470

Other identifiers 1

IdentifierTypeStateIssuer
207309501MedicaidMO

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041018000832 MO Practitioner - Diagnostic Radiology 4284694852 Reassigns benefits to 3 organizations
I20240731002481 KS Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 4284694852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians
Diagnostic Imaging Associates LTDGroup PAC ID 9638064942, 19 clinicians

Practice addresses (Care Compare)

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

11737 Olive Blvd
Creve Coeur, MO 63141-7003
Phone (314) 291-6736

19 Clarkson Rd
Ellisville, MO 63011-2215
Phone (636) 733-8989

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

232 S Woods Mill Rd
St Lukes Hosp Radiology Dept
Chesterfield, MO 63017-3417
Phone (314) 434-1500

2790 Clay Edwards Dr
Suite 405
North Kansas City, MO 64116-3274
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

5551 Winghaven Blvd
Suite 60
O Fallon, MO 63368-3618
Phone (636) 625-4434

6 McBride and Son Corp Ctr Dr
Suite 101
Chesterfield, MO 63005-1418
Phone (636) 519-7865

8 Country Aire Dr
Saint Louis, MO 63131-2318
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29675KSMDDiagnostic Radiology Physician
2002010077MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Kansas University Physicians Inc CurrentSince Jul 1, 2024 Accepting new patients
Diagnostic Imaging Associates LTD Diagnostic Radiology CurrentSince Jun 18, 2005 Accepting new patients
Physician Specialists of St Lukes LLC CurrentSince Dec 1, 2025 Accepting new patients
Des Peres Square Imaging Center LLC CurrentSince Feb 1, 2021 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Diagnostic Radiology Current Accepting new patients
Emergency Physicians of St. Luke's, LLC Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

11300 Corporate Ave
Lenexa, KS 66219
Phone (913) 574-0600

19 Clarkson Rd
Ellisville, MO 63011
Phone (636) 733-8989

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

5551 Winghaven Blvd
Ste 100
O Fallon, MO 63368
Phone (636) 695-2500

1715 Deer Tracks Trl
Ste 130
Saint Louis, MO 63131
Phone (314) 567-1856

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Interoperability endpoints

  • Direct secure messaging: kyalavarthi739237@direct.kuha.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 6

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1841328606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 DEER TRACKS TRL",
            "address_2": "SUITE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311839",
            "telephone_number": "314-821-5600",
            "fax_number": "314-821-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661603417",
            "telephone_number": "913-588-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 S Woods Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173417",
            "country_code": "US",
            "telephone_number": "314-205-6100 x4470",
            "fax_number": "314-878-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YALAVARTHI",
        "first_name": "KISHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-07-05",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2002010077",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-29675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207309501",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.