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DR. MARIANA FERGUSON THEODORO M.D.
NPI 1447645312
Pediatrics - Neonatal-Perinatal Medicine in Kansas City, MO

Active since March 30, 2015PECOS Enrolled
2401 GILLHAM RD., KANSAS CITY, MO 64108(816) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2024, Jan 17, 2022, Aug 16, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Mariana Ferguson Theodoro M.d. NPPES

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

DR. MARIANA FERGUSON THEODORO M.D. (NPI 1447645312) is an individual neonatal-perinatal medicine provider in Kansas City, Missouri, licensed in Missouri (2021015290) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2015).

NPPES Registry Identity

NPI1447645312
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MARIANA FERGUSON THEODOROCredential: M.D.
Location Address2401 GILLHAM RD.Kansas City, MO 64108-4619
Mailing Address2401 Gillham Rd.Kansas City, MO 64108-4619 · (816) 701-5200 · Fax (816) 302-9939
Phone(816) 234-3000
Fax(816) 302-9939
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateApril 30, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
✔ NPI 1447645312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MO · 2021015290
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
2401 GILLHAM RD., Kansas City, MO 64108
Open in Google Maps ↗

Secondary Practice Location 1

Location 14000 Cambridge StKansas City, KS 66160-4619 · Phone (913) 588-1227

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mariana Ferguson Theodoro M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688064488
PECOS Enrollment IDI20260519000840
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 Mariana Theodoro 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
2.5 mi
Obstetrics & Gynecology
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas enrollment
  • 2,139 clinicians in this Medicare group
NPI 1053457978 (913) 588-1227
Mercy Clinic Springfield Communities
151 mi
Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,565 clinicians in this Medicare group
NPI 1245277631 (855) 420-7900
Ascension Via Christi Hospitals Wichita Inc.
173 mi
Endocrinology, Diabetes & Metabolism
1151 N ROCK ROAD
Wichita, KS 67206
  • Reassigned Medicare billing, Kansas enrollment
  • 208 clinicians in this Medicare group
NPI 1831185065 (316) 689-5235

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

Other Providers at the Same Location NPPES 12

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

JUAN SALVADOR FARIAS TORRES MD
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD.
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MS. JANDA LEIGH BUCHHOLZ MS, CGC
Genetic Counselor, MS
2401 GILLHAM RD., CHILDREN'S MERCY HOSPITAL AND CLINICS
KANSAS CITY, MO 64108
Jackson County (816) 234-3290
ANGELIQUE MARIE ORILLAC MD
Pediatrics
2401 GILLHAM RD.
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
STACEY S BLESS NP
Nurse Practitioner (Neonatal)
2401 GILLHAM RD., NEONATOLOGY
KANSAS CITY, MO 64108
Jackson County (816) 234-3591
RAMANPREET HAUS DNP, APRN, FNP-C
Nurse Practitioner (Family)
2401 GILLHAM RD., GASTROENTEROLOGY
KANSAS CITY, MO 64108
Jackson County (816) 234-3016
MARIA G KIAFFAS MD
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD., DEPT. OF CARDIOLOGY
KANSAS CITY, MO 64108
Jackson County (816) 234-3325
MRS. VALERIE LEIGH FROELICH ARNP
Nurse Practitioner (Pediatrics)
2401 GILLHAM RD.
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MS. ELIZABETH CLAIRE ELSON PHARMD, BCPPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2401 GILLHAM RD., CHILDREN'S MERCY HOSPITAL PHARMACY DEPARTMENT
KANSAS CITY, MO 64108
Jackson County (816) 234-3443

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 Mariana Theodoro's NPI number?

The NPI number for Mariana Theodoro is 1447645312. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Mariana Theodoro located?

Mariana Theodoro practices at 2401 Gillham Rd., Kansas City, MO 64108. The listed phone number is (816) 234-3000.

What is Mariana Theodoro's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mariana Theodoro enrolled in Medicare?

Yes. Mariana Theodoro is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mariana Theodoro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariana Theodoro reassigns Medicare benefits to 3 organizations: Kansas University Physicians Inc (Kansas City, KS), Mercy Clinic Springfield Communities (Springfield, MO) and Ascension Via Christi Hospitals Wichita Inc. (Wichita, KS). 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 Mariana Theodoro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariana Theodoro accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Mariana Theodoro 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 Mariana Theodoro was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.