DR. RAJA MOTI GIDWANI (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1235165051

DR. RAJA MOTI GIDWANI (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 109293 (FL). The NPI Number for DR. RAJA MOTI GIDWANI (MD) is 1235165051

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAJA MOTI GIDWANI (MD)
NPI
1235165051
Phone
(816) 235-6626
Address
UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM, M1-210
Enumeration Date
23 June 2006
Last Update Date
6 May 2021

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3054684194
Graduation Year
1997 (29 years ago)
PAC ID
6608047014
Group Practice PAC ID
2365440567
Professional Enrollment ID
I20110915000268
Address ID
FL331864215MI12485AVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

406 PATHOLOGY in MO

Provider Addresses for DR. RAJA MOTI GIDWANI (MD)

  • UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM, M1-210

    2411 HOLMES STREET

    KANSAS CITY, MO 641082792

    Phone: (816) 235-6626

    Type: Location

  • 3920 SW 186TH WAY

    MIRAMAR, FL 330292720

    Phone: (321) 695-9472

    Type: Location

  • 1123, East 49th Street, Country Club Plaza, Kansas City, Jackson County, Missouri, 64110, United States

    KANSAS CITY, MO 641102139

    Phone: (321) 695-9472

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110915000268IPathologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity4,5451,507$0
88312Special stained specimen slides to identify organisms including interpretation and report555324$0
88313Special stained specimen slides to examine tissue including interpretation and report16081$0
88341Special stained specimen slides to examine tissue, each additional procedure4912$0
88342Special stained specimen slides to examine tissue, initial procedure2318$0
View full utilization report →

Insurance plans in this area (ZIP 64108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365440567View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
Nurse PractitionerFL
-FL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
-FL
-FL
-FL

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Frequently asked questions

What federal number belongs to DR. RAJA MOTI GIDWANI (MD)?
The federal identifier for DR. RAJA MOTI GIDWANI (MD) is NPI 1235165051.
Is DR. RAJA MOTI GIDWANI (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. RAJA MOTI GIDWANI (MD)?
The page reflects Anatomic Pathology & Clinical Pathology Physician for DR. RAJA MOTI GIDWANI (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. RAJA MOTI GIDWANI (MD)?
We surface Kansas City, Missouri for DR. RAJA MOTI GIDWANI (MD) based on available NPPES addresses.
Is DR. RAJA MOTI GIDWANI (MD) a real provider?
This page reflects official NPPES data for NPI 1235165051. Always confirm identity and privileges with the practice and licensing boards.

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