Individual provider Active NPI

Rose Mary Puthumana

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1881244044
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME166627 Issued in FL
Practice address
2411 Holmes St
Kansas City, MO 64108-2741
Phone
(816) 235-1808
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME166627 FL Primary

Addresses

Primary practice location

2411 Holmes St
Kansas City, MO 64108-2741

Mailing address

2411 Holmes Street
Attn: Rose Puthumana, 5TH Floor Green Offices
Kansas City, MO 64108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250610000424 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6507376530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ME166627FLMDInternal Medicine Physician
335239NYMDHospitalist Physician

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1881244044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 HOLMES STREET",
            "address_2": "ATTN: ROSE PUTHUMANA, 5TH FLOOR GREEN OFFICES",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082741",
            "telephone_number": "816-235-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHUMANA",
        "first_name": "ROSE",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME166627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.