DR. NARESH KUMAR KODWANI M.D.
NPI 1063525566
Internal Medicine - Critical Care Medicine in Kansas City, MO

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
94.03/100
CMS Quality Rating
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128(816) 861-4700(816) 922-3323 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2016, Jan 11, 2016, Dec 10, 2015 and 1 more (4 updates tracked since 2015).

About Dr. Naresh Kumar Kodwani M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NARESH KUMAR KODWANI M.D. (NPI 1063525566) is an individual critical care medicine provider in Kansas City, Missouri, licensed in Missouri (2000153641) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Overland Park Reg Med Ctr, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1063525566
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. NARESH KUMAR KODWANICredential: M.D.
Location Address4801 E LINWOOD BLVDKansas City, MO 64128-2226
Mailing Address14605 Windsor StLeawood, KS 66224-3727 · (816) 861-4700 · Fax (816) 922-3323
Fax(816) 922-3323
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 17, 2006
Last NPPES UpdateJanuary 22, 20164 updates tracked since enumeration
NPI 1063525566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in MO · 2000153641
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2000153641 (MO)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 2000153641 (MO)
4801 E LINWOOD BLVD, Kansas City, MO 64128

Other Identifiers 4

Medicaid1063525566MO
Medicaid200618640AOK
Medicaid201123590AKS
Medicare PINMA2082513MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Naresh Kumar Kodwani M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183622574
PECOS Enrollment IDI20061120000031, I20170925002825
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
458 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
147 services78 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
90 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number170176
Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.54
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
74%156 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%575 patients4/55-star benchmark: 100%
e-Prescribing
96%57 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
68%179 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%397 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%332 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
100%168 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%110 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 192 patients
Patients totalRate: 0% · 192 patients
0%192 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers25 claims25 services$26.52 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers21 claims21 services$77.03 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers19 claims57 services$29.62 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers29 claims147 services$14.85 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers17 claims95 services$12.36 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers43 claims43 services$40.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4801 E LINWOOD BLVD
KANSAS CITY, MO 64128
Pharmacist
4801 E LINWOOD BLVD
KANSAS CITY, MO 64128
Pharmacist
4801 E LINWOOD BLVD
KANSAS CITY, MO 64128
Pharmacist
4801 E LINWOOD BLVD
KANSAS CITY, MO 64128
Psychologist (Counseling)
4801 E LINWOOD BLVD
KANSAS CITY, MO 64128
Registered Nurse
4801 E LINWOOD BLVD
KANSAS CITY, MO 64128
Licensed Practical Nurse
4801 E LINWOOD BLVD
KANSAS CITY, MO 64128
Registered Nurse (Emergency)
4801 E LINWOOD BLVD
KANSAS CITY, MO 64128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Naresh Kodwani's NPI number?

The NPI number for Naresh Kodwani is 1063525566. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Naresh Kodwani located?

Naresh Kodwani practices at 4801 E Linwood Blvd, Kansas City, MO 64128. The listed phone number is (816) 861-4700.

What is Naresh Kodwani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Naresh Kodwani enrolled in Medicare?

Yes. Naresh Kodwani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Naresh Kodwani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Naresh Kodwani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Naresh Kodwani affiliated with any hospitals?

According to CMS data, Naresh Kodwani is affiliated with Overland Park Reg Med Ctr.

When was this NPI record last updated?

The NPPES record for Naresh Kodwani was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.