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MITHULYA AMBOO MAHENTHERAN MD
NPI 1912880352
Pathology - Anatomic Pathology & Clinical Pathology in Kansas City, MO

Active since July 30, 2025PECOS Enrolled
2301 HOLMES ST, KANSAS CITY, MO 64108(816) 404-0582 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mithulya Amboo Mahentheran Md NPPES

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

MITHULYA AMBOO MAHENTHERAN MD (NPI 1912880352) is an individual anatomic pathology & clinical pathology provider in Kansas City, Missouri, licensed in Missouri (2025027734) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912880352
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameMITHULYA AMBOO MAHENTHERANCredential: MD
Location Address2301 HOLMES STKansas City, MO 64108-2640
Mailing Address2301 Holmes StKansas City, MO 64108-2640 · (816) 404-0582
Phone(816) 404-0582
Sole ProprietorNo
Enumeration DateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1912880352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MO · 2025027734
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2301 HOLMES ST, Kansas City, MO 64108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mithulya Amboo Mahentheran Md 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.

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.

KYLA WESELY
Dietitian, Registered
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-2461
HANNAH BROWN
Nurse Practitioner (Family)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4070
AJANTA JINHEE RAMAN APRN
Nurse Practitioner (Adult Health)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-1325
DR. JORDAN HENRY HELD MD
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4175
STEPHEN C SHOE PHARMD
Pharmacist
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4293
LOVELIGHT N JONAH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-1000
DIVYA GANESH REDDY
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (517) 599-4748
DR. STEPHEN M EIKERMANN D.O.
Internal Medicine (Critical Care Medicine)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-5495

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 Mithulya Amboo Mahentheran's NPI number?

The NPI number for Mithulya Amboo Mahentheran is 1912880352. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Mithulya Amboo Mahentheran located?

Mithulya Amboo Mahentheran practices at 2301 Holmes St, Kansas City, MO 64108. The listed phone number is (816) 404-0582.

What is Mithulya Amboo Mahentheran's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mithulya Amboo Mahentheran enrolled in Medicare?

Yes. Mithulya Amboo Mahentheran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mithulya Amboo Mahentheran was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.