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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SHIVARAJAN MANICKAVASAGAM AMUDHAVALLI M.B.B.S.
NPI 1700021706
Medical Genetics - Clinical Genetics (M.D.) in Kansas City, MO

Active since December 05, 2008PECOS Enrolled
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: July 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1700021706
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameDR. SHIVARAJAN MANICKAVASAGAM AMUDHAVALLICredential: M.B.B.S.
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham Rd, Attn: Provider Enrollment DeptKansas City, MO 64108-4619 · (816) 234-3000 · Fax (816) 302-9939
Phone(816) 234-3000
Fax(816) 302-9939
Sole ProprietorNo
Enumeration DateDecember 5, 2008
Last NPPES UpdateJuly 18, 2026
NPPES CertifiedJuly 18, 2026
✔ NPI 1700021706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Licenses✔ Licensed in MO · 201029319✔ Licensed in KS · 0436759
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
2401 GILLHAM RD, Kansas City, MO 64108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Medica.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. Shivarajan Manickavasagam Amudhavalli M.b.b.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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
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
JAMES W. LOWE DDS
Dentist (Pediatric Dentistry)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000

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.

What insurance does Shivarajan Manickavasagam Amudhavalli accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica 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 with the weekly NPPES data releases published by CMS.