DR. KIMBERLY DAWN PONNURU M.D.
NPI 1689766230
Surgery in Merriam, KS

Q: What is Kimberly Ponnuru's NPI number?

The NPI number for Kimberly Ponnuru is 1689766230. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Kimberly Ponnuru's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Ponnuru was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment

7450 KESSLER ST, STE 201, MERRIAM, KS 66204(913) 632-9200(913) 632-9209 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Kimberly Dawn Ponnuru M.d. NPPES

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

DR. KIMBERLY DAWN PONNURU M.D. (NPI 1689766230) is an individual surgery provider in Merriam, Kansas, licensed in Kansas (0429857) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2000).

NPPES Registry Identity

NPI1689766230

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. KIMBERLY DAWN PONNURUCredential: M.D.

Location Address7450 KESSLER ST, STE 201Merriam, KS 66204

Mailing Address7450 Kessler St, Ste 201Merriam, KS 66204 · (913) 632-9200 · Fax (913) 632-9209

Phone(913) 632-9200

Fax(913) 632-9209

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2000

Enumeration DateSeptember 29, 2006

Last NPPES UpdateNovember 5, 2019

✔ NPI 1689766230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in KS · 0429857

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

7450 KESSLER ST, Merriam, KS 66204

Open in Google Maps ↗

Other Identifiers 1

Other0429857KS · Ks State Board Of Healing

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

Dr. Kimberly Dawn Ponnuru M.d. 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 ID8426227737

PECOS Enrollment IDI20110824000947

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 Reassignment

Medicare enrollment records show Kimberly Ponnuru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shawnee Mission Medical Center Inc

0.2 mi

Family Medicine

9100 W 74TH ST
Merriam, KS 66204

Reassigned Medicare billing, Kansas enrollment
384 clinicians in this Medicare group

NPI 1992735690 (913) 676-2000

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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

23 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services16 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

17 services17 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170104

Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66204 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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 4

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

LYDIA R MCMULLEN

Audiologist

7450 KESSLER ST
MERRIAM, KS 66204

Johnson County (816) 454-0666

JILL M ACKERMAN M.D.

Family Medicine

7450 KESSLER ST, STE 300
MERRIAM, KS 66204

Johnson County (913) 632-2900

DR. KRISTINE FREYALDENHOVEN M.D.

Specialist

7450 KESSLER ST, STE 150
OVERLAND PARK, KS 66204

Johnson County (913) 677-2508

DR. KATHRYN E CAMERON D.O.

Family Medicine

7450 KESSLER ST, STE 300
MERRIAM, KS 66204

Johnson County (913) 632-2900

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 Kimberly Ponnuru's NPI number?

The NPI number for Kimberly Ponnuru is 1689766230. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Kimberly Ponnuru located?

Kimberly Ponnuru practices at 7450 Kessler St Ste 201, Merriam, KS 66204. The listed phone number is (913) 632-9200.

What is Kimberly Ponnuru's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kimberly Ponnuru enrolled in Medicare?

Yes. Kimberly Ponnuru 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 organization bills Medicare for Kimberly Ponnuru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Ponnuru reassigns Medicare benefits to Shawnee Mission Medical Center Inc (Merriam, KS). The 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 Kimberly Ponnuru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Ponnuru 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 1 other insurer list Kimberly Ponnuru 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 Kimberly Ponnuru affiliated with any hospitals?

According to CMS data, Kimberly Ponnuru is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Kimberly Ponnuru was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.