VELLORE KIRUBAKARAN (NPI# 1619009172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619009172 |
| Entity Type | Individual |
| Full Name | VELLORE KIRUBAKARAN |
| Credential | M.D. |
| Practice Address |
4121 W 83rd St Suite 254 Prairie Village KS 66208-5300 |
| Mailing Address |
Po Box 27127 Overland Park KS 66225-7127 |
| Practice Telephone | 9136495567 |
| Practice Fax Number | 9136497563 |
| Mailing Telephone | 9136495567 |
| Mailing Fax Number | 9136497563 |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2012-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35824 | MO | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
04-19582 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100115600D | 05 | |
| KS | BLUE SHIELD KANSAS | 632223 | 01 |
| RAILROAD MEDICARE | 260036797 | 01 | |
| KS | BCBS PROVIDER # | 11476046 | 01 |
| KS | BLUE SHIELD KANSAS CITY | 11476056 | 01 |
| MO | 202129227 | 05 |
| Street Address |
4121 W 83RD ST SUITE 254 |
| City | PRAIRIE VILLAGE |
| State | KS |
| Zip Code | 66208-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386643740 | Mark J Gordon | Dentist | 4121 W 83rd St, Suite 212, Prairie Village, KS 66208-5300 | 2005-07-19 |
| 1083065510 | Rosemarie A Romain-tyson LLC | Psychiatry & Neurology | 4121 W 83rd St, 254, Prairie Village, KS 66208-5300 | 2016-06-27 |
| 1912364266 | Stacey Laird, Md, LLC | Psychiatry & Neurology | 4121 W 83rd St, Ste. 204, Prairie Village, KS 66208-5472 | 2016-01-18 |
| 1821346495 | Stacey Allison Laird | Psychiatry & Neurology | 4121 W 83rd St, Suite 204, Prairie Village, KS 66208-5472 | 2012-08-29 |
| 1538492988 | Byron A Milgram Professional Corp | Psychiatry & Neurology | 4121 W 83rd St, 123, Prairie Village, KS 66208-5300 | 2009-09-16 |
| 1063605608 | Rostberg Chiropractic & Acupuncture, P.a. | Chiropractor | 4121 W 83rd St, Suite 204, Prairie Village, KS 66208-5300 | 2007-08-27 |
| 1669689188 | Vellore Kirubakaran M D P A | Psychiatry & Neurology | 4121 W 83rd St, Suite 254, Prairie Village, KS 66208-5300 | 2007-05-16 |
| 1881711083 | Garydeanzuck, Dds,pa | Dentist | 4121 W 83rd St, Suite 200, Prairie Village, KS 66208-5300 | 2007-03-23 |
| 1528111531 | Barbara B Hise | Counselor | 4121 W 83rd St, Suite 161, Prairie Village, KS 66208-5300 | 2007-01-21 |
| 1447308556 | Arnold Steven Hermanson | Dentist | 4121 W 83rd St, Suite 220, Prairie Village, KS 66208-5300 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627940 | Arena Health LLC | Clinic/Center | 8010 Stateline Road, Suite 100, Prairie Village, KS 66208 | 2020-07-27 |
| 1780222414 | Tracy Licausi | Counselor | 4907 W 69th Ter, Prairie Village, KS 66208 | 2019-12-12 |
| 1699294959 | Meredith Arends | Physician Assistant | 2904 W 73rd Street, Prairie Village, KS 66208 | 2017-09-18 |
| 1861914616 | Pardeep Kaur Gill | Dentist | 7501 Mission Rd Ste 102, Prairie Village, KS 66208 | 2017-07-13 |
| 1366821977 | Wineteer, Inc. | Durable Medical Equipment & Medical Supplies | 3500 W 75th St, Suite 100, Prairie Village, KS 66208 | 2015-05-28 |
| 1972913374 | Julia Nguyen | Dentist | 7301 Mission Rd Ste 317, Prairie Village, KS 66208 | 2014-05-07 |
| 1063859650 | Joseph Charles Glenn | Chiropractor | 8016 State Line Rd, Suite 100, Leawood, KS 66208 | 2013-05-23 |
| 1104172337 | Julie Anne Budke | Psychologist | 3965 W 83rd Street Suite 233, Prairie Village, KS 66208 | 2012-07-25 |
| 1700149952 | Julia K Thomas | Specialist | 5111 W. 64th St, Prairie Village, KS 66208 | 2012-06-22 |
| 1255624227 | Carl S Cleveland Iv | Chiropractor | 8016 State Line Rd, Ste 100, Leawood, KS 66208 | 2011-05-24 |
| Find all providers in zip 66208 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467866954 | Shawnee Mission Psychiatric Services, LLC | Psychiatry & Neurology | 8340 Mission Rd Ste 210, Prairie Village, KS 66206-1362 | 2014-06-12 |
| 1891951521 | Zachary Hugo | Psychiatry & Neurology | 8201 Mission Rd Ste 261, Prairie Village, KS 66208-5214 | 2008-08-01 |
| 1821101874 | Salomon Alfie | Psychiatry & Neurology | 5521 W 83rd St, Prairie Village, KS 66208-4964 | 2006-08-16 |
| 1649294794 | William Steven Baker | Psychiatry & Neurology | 7632 Colonial Dr, Prairie Village, KS 66208-4639 | 2006-07-26 |
| 1043270770 | Michael J Pronko | Psychiatry & Neurology | 4121 W 83 Suite 223, Prairie Village, KS 66208 | 2006-03-25 |
| 1871572792 | Everette Theodore Sitzman Jr. | Psychiatry & Neurology | 5200 W 94th Ter, Ste 105, Prairie Village, KS 66207-2522 | 2006-01-10 |
| 1083065510 | Rosemarie A Romain-tyson LLC | Psychiatry & Neurology | 4121 W 83rd St, 254, Prairie Village, KS 66208-5300 | 2016-06-27 |
| 1912364266 | Stacey Laird, Md, LLC | Psychiatry & Neurology | 4121 W 83rd St, Ste. 204, Prairie Village, KS 66208-5472 | 2016-01-18 |
| 1275857575 | E Kent Stevenson Md PC | Psychiatry & Neurology | 5200 W 94th Ter, Suite 105, Prairie Village, KS 66207-2522 | 2010-03-16 |
| 1538492988 | Byron A Milgram Professional Corp | Psychiatry & Neurology | 4121 W 83rd St, 123, Prairie Village, KS 66208-5300 | 2009-09-16 |
| Find all providers in PRAIRIE VILLAGE | ||||
| City | PRAIRIE VILLAGE |
| Zip Code | 66208 |
Please comment or provide details below to improve the information on VELLORE KIRUBAKARAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.