SANJAY DRONAVALLI MD
NPI 1790179752
Family Medicine in Kansas City, KS

Active since March 26, 2015PECOS EnrolledAccepts Medicare Assignment
3901 RAINBOW BLVD, KANSAS CITY, KS 66160(913) 588-5000 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sanjay Dronavalli Md NPPES

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

SANJAY DRONAVALLI MD (NPI 1790179752) is an individual family medicine provider in Kansas City, Kansas, licensed in Michigan (4301507738) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790179752
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSANJAY DRONAVALLICredential: MD
Location Address3901 RAINBOW BLVDKansas City, KS 66160-8500
Mailing Address24 Frank Ll, Lobby J2000Ann Arbor, MI 48105 · (734) 747-6766 · Fax (734) 222-3100
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 26, 2015
Last NPPES UpdateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
NPI 1790179752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301507738
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3901 RAINBOW BLVD, Kansas City, KS 66160

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 and accepts Medicare assignment

Sanjay Dronavalli 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 ID42516072
PECOS Enrollment IDI20231220002255
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.

Areas of Expertise CMS Part B claims 3

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 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.
29 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services17 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers11 claims42 services$6.60 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers13 claims34 services$8.78 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.25 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.93 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers13 claims32 services$4.48 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Speech-Language Pathologist
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Practitioner (Primary Care)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Psychologist (Counseling)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Family Medicine
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
General Practice
3901 RAINBOW BLVD
KANSAS CITY, KS 66160

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 Sanjay Dronavalli's NPI number?

The NPI number for Sanjay Dronavalli is 1790179752. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Sanjay Dronavalli located?

Sanjay Dronavalli practices at 3901 Rainbow Blvd, Kansas City, KS 66160. The listed phone number is (913) 588-5000.

What is Sanjay Dronavalli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sanjay Dronavalli enrolled in Medicare?

Yes. Sanjay Dronavalli 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.

What insurance does Sanjay Dronavalli accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Sanjay Dronavalli 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 Sanjay Dronavalli affiliated with any hospitals?

According to CMS data, Sanjay Dronavalli is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Sanjay Dronavalli was last updated on August 10, 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.