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DR. PRATIBHA RANA MD
NPI 1609183284
Pediatrics - Pediatric Endocrinology in Kansas City, MO

Active since September 02, 2010PECOS EnrolledAccepts Medicare Assignment
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2022, May 15, 2019, Jun 19, 2018 (3 updates tracked since 2018).

About Dr. Pratibha Rana Md NPPES

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

DR. PRATIBHA RANA MD (NPI 1609183284) is an individual pediatric endocrinology provider in Kansas City, Missouri, licensed in Missouri (2013038533) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609183284
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameDR. PRATIBHA RANACredential: MD
Location Address2401 GILLHAM RDKansas City, MO 64108
Mailing Address2401 Gillham Rd, Provider EnrollmentKansas City, MO 64108-4619 · (816) 234-3000 · Fax (816) 302-9939
Phone(816) 234-3000
Fax(816) 302-9939
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 2, 2010
Last NPPES UpdateMarch 4, 20223 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
✔ NPI 1609183284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Licenses✔ Licensed in MO · 2013038533✔ Licensed in KS · 04-39748
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
2401 GILLHAM RD, Kansas City, MO 64108
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13901 Rainbow BlvdKansas City, KS 66160-4619 · Phone (913) 588-6326 · Fax (913) 588-6288
Location 23520 SW 6th AveTopeka, KS 66606-2806 · Phone (785) 354-9591 · Fax (785) 354-0542

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.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

Dr. Pratibha Rana 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 ID143506634
PECOS Enrollment IDI20170418001374, I20240403001808
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

2

Medicare enrollment records show Pratibha Rana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Children's Mercy Hospital
0.1 mi
Pediatrics
2401 GILLHAM RD
Kansas City, MO 64108
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: The Childrens Mercy Hospital
  • 394 clinicians in this Medicare group
NPI 1851437719 (816) 234-3000
Kansas University Physicians Inc
2.4 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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

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.

RYAN A ROMANS MD
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
JENNIFER BITNER MSN, APRN, FNP-C
Nurse Practitioner (Family)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (913) 234-3000
SAMIRA NAIME M.D.
Pediatrics (Sleep Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MICHELLE RENEE MIDDLETON AU.D.
Audiologist
2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108
Jackson County (816) 960-4009
MRS. SHERILYN KELLY APRN
Nurse Practitioner (Neonatal, Critical Care)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MADALYN NICOLE SINGLETON DO
Student in an Organized Health Care Education/Training Program
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
EMMA LYNNE WORLEY CAA
Anesthesiologist Assistant
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
DR. FAYTH WALBRIDGE PHD
Psychologist (Clinical)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (308) 655-0842

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 Pratibha Rana's NPI number?

The NPI number for Pratibha Rana is 1609183284. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Where is Pratibha Rana located?

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

What is Pratibha Rana's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Pratibha Rana enrolled in Medicare?

Yes. Pratibha Rana 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 Pratibha Rana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratibha Rana reassigns Medicare benefits to 2 organizations: The Children's Mercy Hospital (Kansas City, MO) and Kansas University Physicians Inc (Kansas City, 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 Pratibha Rana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pratibha Rana accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Pratibha Rana 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 Pratibha Rana was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.