Individual ProviderPadma PoddutooriHospitalistAllopathic & Osteopathic PhysiciansPractice Address3901 Rainbow Blvd # Ms 1020, Ku Medical Center Div Of General & Geriatric Medicine, Kansas City, KS 66160-0001(913) 588-6005(913) 588-2500PECOS EnrollmentBased on the most recent information from CMS, provider Padma Poddutoori is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1487844908Provider TypeIndividualFull NamePoddutoori, PadmaCredentialMDGenderFemaleSole ProprietorYesEnumeration Date7/31/2007Last Updated9/13/2013Contact InformationPractice LocationPractice Address3901 Rainbow Blvd # Ms 1020, Ku Medical Center Div Of General & Geriatric Medicine, Kansas City, KS 66160-0001Phone(913) 588-6005Fax(913) 588-3877Mailing LocationMailing AddressKansas University Physicians Inc, 3901 Rainbow Blvd, 4070 Delp, Ms 4017, Kansas City, KS 66160-0001Phone(913) 588-2500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense04-34698KansasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME 104917FloridaProvider IdentifiersIDDescriptionIssuerID146 L JDescriptionOtherIssuerBCBSFloridaID001940800DescriptionMedicaidIssuerUnlistedFlorida