DR. SHIVARAJAN MANICKAVASAGAM AMUDHAVALLI M.B.B.S.
NPI 1700021706
Medical Genetics - Clinical Genetics (M.D.) in Kansas City, MO
About Dr. Shivarajan Manickavasagam Amudhavalli M.b.b.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHIVARAJAN MANICKAVASAGAM AMUDHAVALLI M.B.B.S. (NPI 1700021706) is an individual clinical genetics (m.d.) provider in Kansas City, Missouri, licensed in Missouri (201029319) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Shivarajan Manickavasagam Amudhavalli M.b.b.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shivarajan Manickavasagam Amudhavalli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kansas City, MO 64108
- Reassigned Medicare billing, Kansas and Missouri enrollments
- Medicare enrollment name: The Childrens Mercy Hospital
- 394 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
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 Shivarajan Manickavasagam Amudhavalli's NPI number?
The NPI number for Shivarajan Manickavasagam Amudhavalli is 1700021706. It was assigned to this individual provider in the NPPES registry on December 5, 2008.
Where is Shivarajan Manickavasagam Amudhavalli located?
Shivarajan Manickavasagam Amudhavalli practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3000.
What is Shivarajan Manickavasagam Amudhavalli's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
Is Shivarajan Manickavasagam Amudhavalli enrolled in Medicare?
Yes. Shivarajan Manickavasagam Amudhavalli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shivarajan Manickavasagam Amudhavalli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shivarajan Manickavasagam Amudhavalli reassigns Medicare benefits to The Children's Mercy Hospital (Kansas City, MO). 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 Shivarajan Manickavasagam Amudhavalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shivarajan Manickavasagam Amudhavalli 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 Shivarajan Manickavasagam Amudhavalli 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 Shivarajan Manickavasagam Amudhavalli was last updated on July 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Shivarajan Manickavasagam Amudhavalli, M.B.B.S. · NPI 1700021706
Clinical Genetics (M.D.) physician in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since December 5, 2008.
## Identity
- **NPI:** 1700021706 (Entity type: Individual)
- **Enumerated:** December 5, 2008
- **Primary specialty:** Medical Genetics - Clinical Genetics (M.D.) · taxonomy 207SG0201X
- **State license:** 201029319 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 GILLHAM RD, Kansas City, MO 64108-4619
- **Phone:** (816) 234-3000 · **Fax:** (816) 302-9939
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Children's Mercy Hospital (NPI 1851437719, Kansas City, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1700021706) · Data from the CMS NPPES public registry.