Matilda Dervisevic, MD
NPI 1649030768 · Pediatrics Physician · Kansas City, MO
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matilda Dervisevic, MD is a Pediatrics Physician provider in Kansas City, MO (NPI 1649030768).
Provider details
- NPI number
- 1649030768
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 94-11874 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-19
- Last updated
- 2024-08-26
- Certified
- 2024-08-26
Frequently asked questions
- What is Matilda Dervisevic's NPI number?
- Matilda Dervisevic's National Provider Identifier (NPI) is 1649030768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matilda Dervisevic's specialty?
- Matilda Dervisevic is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Matilda Dervisevic located?
- Matilda Dervisevic's practice location on file with NPPES is 2401 Gillham Rd, Kansas City, MO 64108-4619.
- What is Matilda Dervisevic's phone number?
- The practice phone number listed in the NPPES registry for Matilda Dervisevic is (816) 234-3000.
- Does Matilda Dervisevic accept Medicare?
- Matilda Dervisevic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matilda Dervisevic's NPI active?
- Yes — Matilda Dervisevic's NPI (1649030768) is active in the NPPES registry as of the last update on 2024-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.