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: August 02, 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
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

Secondary Practice Location 1

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

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 (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.

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.

Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD.
KANSAS CITY, MO 64108
Genetic Counselor, MS
2401 GILLHAM RD., CHILDREN'S MERCY HOSPITAL AND CLINICS
KANSAS CITY, MO 64108
Pediatrics
2401 GILLHAM RD.
KANSAS CITY, MO 64108
Nurse Practitioner (Neonatal)
2401 GILLHAM RD., NEONATOLOGY
KANSAS CITY, MO 64108
Nurse Practitioner (Family)
2401 GILLHAM RD., GASTROENTEROLOGY
KANSAS CITY, MO 64108
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD., DEPT. OF CARDIOLOGY
KANSAS CITY, MO 64108
Nurse Practitioner (Pediatrics)
2401 GILLHAM RD.
KANSAS CITY, MO 64108
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2401 GILLHAM RD., CHILDREN'S MERCY HOSPITAL PHARMACY DEPARTMENT
KANSAS CITY, MO 64108

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.

What insurance does Mariana Theodoro accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica 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.