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

Individual provider Psychiatry Physician · NPI 1376652149

Krishna Manej Divadeenam, MD is a Psychiatry in Lees Summit, Missouri. Qualified in 1997, 29 years ago. Practices with Mccd Ks Psychiatry Services PA, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
29
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

200 NE Missouri Rd Ste 302
Lees Summit, MO 64086-4722
Phone: (816) 523-0103
Fax: (816) 361-6471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 04-28281 (KS)

Record details

NPI number1376652149
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESSeptember 1, 2011
Mailing address200 Ne Missouri Rd, Suite 302, Lees Summit, MO 64086-4722

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice McCd Ks Psychiatry Services Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lees Summit