Individual provider Active NPI

Akhil Venkata Gutta, MD

  • Emergency Medicine Physician
  • Kansas City, MO
National Provider Identifier
1902461965
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2022021057 Issued in MO
Practice address
1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone
(816) 942-4400
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2022021057 MO Primary

Addresses

Primary practice location

1000 Carondelet Dr
Kansas City, MO 64114-4673

Mailing address

4851 Meadowbrook Pkwy Unit 352
Prairie Village, KS 66207-3490

Other practice location 1

201 NW R D Mize Rd
Blue Springs, MO 64014-2513
Phone (816) 228-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220808003240 MO Practitioner - Emergency Medicine 8022351139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Emergency Medicine LLCGroup PAC ID 3971037565, 18 clinicians

Practice addresses (Care Compare)

201 NW R D Mize Rd
Blue Springs, MO 64014-2513
Phone (816) 228-5900

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085
  • St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193
  • Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
72.61
Promoting interoperability
100
Improvement activities
30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022021057MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Mo, LLC Emergency Medicine CurrentSince May 20, 2024 Accepting new patients
Omni Emergency Medicine LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Missouri Emergency Medicine LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

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 3

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1902461965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 MEADOWBROOK PKWY UNIT 352",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662073490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "816-942-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 NW R D Mize Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142513",
            "country_code": "US",
            "telephone_number": "816-228-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTTA",
        "first_name": "AKHIL",
        "middle_name": "VENKATA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2022021057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.