Active NPI
Dana Sous, MD
- Dermatology Physician
- Kansas City, KS
National Provider Identifier
1043957442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2022023822
- Practice address
- 3901 Rainbow Blvd
Kansas City, KS 66160-8267 - Phone
- (913) 588-3840
- Fax
- (913) 588-3995
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2022023822 | MO | |
| Dermatology Physician | 207N00000X | 2022023822 | MO | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
Kansas City, KS 66160-8267
Mailing address
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-3840
Other practice location 1
50 Staniford St
Boston, MA 02114-2517
Phone (617) 726-2194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260601000119 | MA | Practitioner - Dermatology | 8426438813 |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
399 Revolution Dr
Somerville, MA 02145-1444
399 Revolution Dr
Suite 580
Somerville, MA 02145-1572
Hospital & facility affiliations
- University of Kansas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1043957442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-3840",
"fax_number": "913-588-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608267",
"telephone_number": "913-588-3840",
"fax_number": "913-588-3995"
}
],
"practiceLocations": [
{
"address_1": "50 Staniford St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142517",
"country_code": "US",
"telephone_number": "617-726-2194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOUS",
"first_name": "DANA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2022023822",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "2022023822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.