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KRISHNA MANEJ DIVADEENAM MD
NPI 1376652149
Psychiatry & Neurology - Psychiatry in Lees Summit, MO

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
200 NE MISSOURI RD, SUITE 302, LEES SUMMIT, MO 64086(816) 523-0103(816) 361-6471 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krishna Manej Divadeenam Md NPPES

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

KRISHNA MANEJ DIVADEENAM MD (NPI 1376652149) is an individual psychiatry provider in Lees Summit, Missouri, licensed in Kansas (04-28281) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1376652149
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKRISHNA MANEJ DIVADEENAMCredential: MD
Location Address200 NE MISSOURI RD, SUITE 302Lees Summit, MO 64086-4722
Mailing Address200 Ne Missouri Rd, Suite 302Lees Summit, MO 64086-4722 · (816) 523-0103 · Fax (816) 361-6471
Phone(816) 523-0103
Fax(816) 361-6471
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 29, 2006
Last NPPES UpdateSeptember 1, 2011
✔ NPI 1376652149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KS · 04-28281
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
200 NE MISSOURI RD, Lees Summit, MO 64086
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Other Identifiers 4

Other30445011Bcbs Of Kc
Medicare UPINH28571
Medicaid100098010KS
Medicare ID-Type Unspecified292B326A

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.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

Krishna Manej Divadeenam 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 ID5294868691
PECOS Enrollment IDI20260313003334
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 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
$168.52 typical visit price
range $55.29 – $168.52
Typical copayment $42.13 (range $13.82 – $42.13)
Most-billed visit code 99205
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

MRS. STACEY MASON LPC
Counselor (Professional)
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Jackson County (816) 523-0103
MRS. JANNETTE OWEN LCSW
Social Worker
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Jackson County (816) 523-0103
DR. LYDIA KAUME RDN, LD
Dietitian, Registered
200 NE MISSOURI RD
LEES SUMMIT, MO 64086
Jackson County (479) 283-8185
KC PAIN CENTERS, LLC
Pain Medicine (Pain Medicine)
200 NE MISSOURI RD, SUITE 103
LEES SUMMIT, MO 64086
Jackson County (816) 763-1559
MIDWEST PSYCHIATRIC CONSULTANTS, P.C.
Specialist
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Jackson County (816) 523-0103
REED THERAPEUTIC SERVICES LLC
Point of Service
200 NE MISSOURI RD, SUITE 200
LEES SUMMIT, MO 64086
Jackson County (816) 251-4525
MISS SARA ANN OBERLANDER AGACNP-C
Nurse Practitioner
200 NE MISSOURI RD
LEES SUMMIT, MO 64086
Jackson County (816) 282-5370
MR. CHRISTOPHER MOON LPC
Counselor (Professional)
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Jackson County (816) 523-0103

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 Krishna Divadeenam's NPI number?

The NPI number for Krishna Divadeenam is 1376652149. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Krishna Divadeenam located?

Krishna Divadeenam practices at 200 NE Missouri Rd Suite 302, Lees Summit, MO 64086. The listed phone number is (816) 523-0103.

What is Krishna Divadeenam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Krishna Divadeenam enrolled in Medicare?

Yes. Krishna Divadeenam 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 Krishna Divadeenam accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Krishna Divadeenam 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.

When was this NPI record last updated?

The NPPES record for Krishna Divadeenam was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.