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PRADEEP PA MAMMEN MD
NPI 1386609196
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Kansas City, KS

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160(913) 588-9600 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pradeep Pa Mammen Md NPPES

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

PRADEEP PA MAMMEN MD (NPI 1386609196) is an individual advanced heart failure and transplant cardiology provider in Kansas City, Kansas, licensed in Kansas (04-47191) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1386609196
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NamePRADEEP PA MAMMENCredential: MD
Location Address4000 CAMBRIDGE ST STE G600Kansas City, KS 66160-8501
Mailing Address4000 Cambridge St Ste G600Kansas City, KS 66160-8501 · (913) 588-9600
Phone(913) 588-9600
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1995
Enumeration DateApril 18, 2006
Last NPPES UpdateFebruary 23, 2023
NPPES CertifiedFebruary 23, 2023
✔ NPI 1386609196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in KS · 04-47191
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License K6884 (TX)
4000 CAMBRIDGE ST STE G600, Kansas City, KS 66160
Open in Google Maps ↗

Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-7208 · Phone (214) 645-8000 · Fax (214) 645-7532

Other Identifiers 1

Medicaid165941901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pradeep Pa Mammen 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 ID5799765384
PECOS Enrollment IDI20230214000356
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Pradeep Mammen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kansas University Physicians Inc
Same address
Internal Medicine
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas enrollment
  • 2,139 clinicians in this Medicare group
NPI 1003858333 (913) 588-2527
Mid-America Cardiology Associates, Inc.
0.1 mi
Cardiovascular Disease
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 120 clinicians in this Medicare group
NPI 1467406306 (913) 588-1227
University Of Texas Southwestern Medical Center At Dallas
427 mi
Obstetrics & Gynecology
3000 N I-35
Denton, TX 76201
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1770894396 (469) 303-3591

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
85 services64 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.
84 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
61 services49 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
47 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
26 services15 patients

Hospital Affiliations CMS Care Compare 4

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

2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170016
Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County
Emergency services Birthing friendly

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Miami County Medical Center

Acute Care Hospitals · La Cygne, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number170109
Location1017 E Market St, Ohfm LacygneLa Cygne, KS 66040 · Linn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

JILL S KEAST RN, MSN, ARNP-C
Nurse Practitioner (Adult Health)
4000 CAMBRIDGE ST STE G600
KANSAS CITY, KS 66160
Wyandotte County (913) 588-9700
REGAN SHAFFER PA-C
Physician Assistant
4000 CAMBRIDGE ST STE G600
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1227
MOHAMED MAHMOUD EL KHASHAB MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
4000 CAMBRIDGE ST STE G600
KANSAS CITY, KS 66160
Wyandotte County (913) 588-9600
DANIEL HARRISON MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
4000 CAMBRIDGE ST STE G600
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1227
MEGAN L BAUMBERGER PA
Physician Assistant (Surgical)
4000 CAMBRIDGE ST STE G600
KANSAS CITY, KS 66160
Wyandotte County (913) 588-5000
RANDALL E GENTON MD
Internal Medicine (Cardiovascular Disease)
4000 CAMBRIDGE ST STE G600
KANSAS CITY, KS 66160
Wyandotte County (913) 588-9600
CHARLES B PORTER MD
Internal Medicine (Cardiovascular Disease)
4000 CAMBRIDGE ST STE G600
KANSAS CITY, KS 66160
Wyandotte County (913) 588-9600
MICHAEL JOSEPH PIERPOLINE D.O.
Internal Medicine (Cardiovascular Disease)
4000 CAMBRIDGE ST STE G600
KANSAS CITY, KS 66160
Wyandotte County (913) 588-9600

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 Pradeep Mammen's NPI number?

The NPI number for Pradeep Mammen is 1386609196. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Pradeep Mammen located?

Pradeep Mammen practices at 4000 Cambridge St Ste G600, Kansas City, KS 66160. The listed phone number is (913) 588-9600.

What is Pradeep Mammen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Pradeep Mammen enrolled in Medicare?

Yes. Pradeep Mammen 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.

Which organizations bill Medicare for Pradeep Mammen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pradeep Mammen reassigns Medicare benefits to 3 organizations: Kansas University Physicians Inc (Kansas City, KS), Mid-America Cardiology Associates, Inc. (Kansas City, KS) and University Of Texas Southwestern Medical Center At Dallas (Denton, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pradeep Mammen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pradeep Mammen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 5 other insurers list Pradeep Mammen 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 Pradeep Mammen affiliated with any hospitals?

According to CMS data, Pradeep Mammen is affiliated with University Of Kansas Health System - St Francis Campus, University Of Kansas Hospital, Olathe Medical Center and Miami County Medical Center.

When was this NPI record last updated?

The NPPES record for Pradeep Mammen was last updated on February 23, 2023. 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.