Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mariana Ferguson Theodoro, MD

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1447645312

Dr. Mariana Ferguson Theodoro, MD is a Pediatric Medicine in Kansas City, Missouri. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2015, 11 years ago. Works from 2 locations. Licensed in Missouri.

Years since qualifying
11
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
MO
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4000 Cambridge St, Kansas City, KS 66160-4619 — (913) 588-1227

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 2021015290 (MO)

Record details

NPI number1447645312
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2015
Last updated in NPPESApril 30, 2024
Certification dateJanuary 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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