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

Dr. Srinivasa Rao Vasa, MD

Individual provider Gastroenterology Physician · NPI 1457398190

Dr. Srinivasa Rao Vasa, MD is a Gastroenterology in Leavenworth, Kansas. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
44
Licensed in
KS
In the registry since
2006
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

3601 S 4th St Ste #5
Leavenworth, KS 66048-5015
Phone: (913) 220-5193
Fax: (913) 814-9989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 04-27796 (KS)

Record details

NPI number1457398190
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2006
Last updated in NPPESMay 16, 2020
Certification dateMay 16, 2020

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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