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DR. SHASHANK B RADADIYA MD
NPI 1306887161
Internal Medicine - Rheumatology in Kansas City, KS

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
96.72/100
CMS Quality Rating
5701 STATE AVE STE 100, KANSAS CITY, KS 66102(913) 287-7800(913) 596-0072 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shashank B Radadiya Md NPPES

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

DR. SHASHANK B RADADIYA MD (NPI 1306887161) is an individual rheumatology provider in Kansas City, Kansas, licensed in Kansas (0430009) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Anderson County Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1306887161
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SHASHANK B RADADIYACredential: MD
Location Address5701 STATE AVE STE 100Kansas City, KS 66102-1281
Mailing Address5701 State Ave Ste 100Kansas City, KS 66102-1281 · (913) 287-7800 · Fax (913) 596-0072
Phone(913) 287-7800
Fax(913) 596-0072
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 10, 2006
Last NPPES UpdateOctober 11, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1306887161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in KS · 0430009✔ Licensed in MO · 2017013306
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
5701 STATE AVE STE 100, Kansas City, KS 66102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Shashank B Radadiya Md 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 ID9032113402
PECOS Enrollment IDI20060828000333, I20170803003201
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 5

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.

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.
270 services123 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.
60 services40 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
50 services27 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.
19 services19 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Anderson County Hospital

Critical Access Hospitals · Garnett, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171316
Location421 S MapleGarnett, KS 66032 · Anderson County
Emergency services

Girard Medical Center

Critical Access Hospitals · Girard, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171376
Location302 North Hospital DriveGirard, KS 66743 · Crawford County
Emergency services

Cameron Regional Medical Center

Acute Care Hospitals · Cameron, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260057
Location1600 E EvergreenCameron, MO 64429 · Clinton County
Emergency services

Excelsior Springs Hospital

Critical Access Hospitals · Excelsior Springs, MO
OwnershipGovernment - Local
CMS Certification Number261322
Location1700 Rainbow BoulevardExcelsior Springs, MO 64024 · Clay County
Emergency services

Ray County Memorial Hospital

Critical Access Hospitals · Richmond, MO
OwnershipGovernment - Local
CMS Certification Number261327
Location904 Wollard BoulevardRichmond, MO 64085 · Ray County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66102 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

96.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.04
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. VINAYA KODURI MD
Internal Medicine
5701 STATE AVE STE 100
KANSAS CITY, KS 66102
Wyandotte County (913) 287-7800
DR. MICHAEL R HARWOOD MD
Internal Medicine
5701 STATE AVE STE 100
KANSAS CITY, KS 66102
Wyandotte County (913) 287-7800
DARYOUSH JAHANIAN MD
Obstetrics & Gynecology
5701 STATE AVE STE 100
KANSAS CITY, KS 66102
Wyandotte County (913) 287-7800
DR. PRATIP B PATEL MD
Internal Medicine
5701 STATE AVE STE 100
KANSAS CITY, KS 66102
Wyandotte County (913) 287-7800

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 Shashank Radadiya's NPI number?

The NPI number for Shashank Radadiya is 1306887161. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Shashank Radadiya located?

Shashank Radadiya practices at 5701 State Ave Ste 100, Kansas City, KS 66102. The listed phone number is (913) 287-7800.

What is Shashank Radadiya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Shashank Radadiya enrolled in Medicare?

Yes. Shashank Radadiya 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 Shashank Radadiya 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 5 other insurers list Shashank Radadiya 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 Shashank Radadiya affiliated with any hospitals?

According to CMS data, Shashank Radadiya is affiliated with Anderson County Hospital, Girard Medical Center, Cameron Regional Medical Center, Excelsior Springs Hospital and Ray County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shashank Radadiya was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.